Diocesan Scholarships 2013 Application Due April 5, 2013

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Diocese of Lafayette-in-Indiana Diocesan Scholarships 2013 Application Due April 5, 2013 I am applying for the: Christopher Warner Scholarship Youth Leadership Scholarship Both PLEASE PRINT CLEARLY OR TYPE Name: Address: City: Zip Code: Telephone: ( ) Parish: City: Recommended by: Signature of Applicant Date Signature of Pastor Date Signature of Parent Date Signature of Youth Minster Date Or DRE The following are to be returned to the Pastoral Office for Education (or postmarked) no later than April 5, 2013 to be considered for the Scholarships: This application page Either pages 3 & 4 (Christopher Warner Scholarship) or pages 5 & 6 (Diocesan Leadership Scholarship) or pages 3, 4, 5 & 6, if you are applying for both scholarships Late applications and nomination forms will not be accepted. 1

INFORMATION REGARDING APPLICATIONS FOR: Christopher Warner Scholarship Application on Pages 3 & 4 The Christopher Warner Memorial Scholarship was established in 1987 as a memorial to Christopher Warner of St. Patrick's Parish, Kokomo, who died at the age of 19. The $1000 scholarship is awarded to recognize a high school senior in the Local Church of Lafayette-in- Indiana, who demonstrates his/her Catholic faith and identity through commitment and service to his/her 1. Parish 2. School 3. Community The scholarship selection committee will use the following criteria to determine the scholarship recipient. 1. Actively demonstrates their Catholic Faith daily. 2. Actively serves their parish community, school community and Local community. Diocesan Leadership Scholarship Application on Pages 5 & 6 The Diocesan Leadership Scholarship was established in 1994. The $1000 scholarship is awarded to recognize a high school senior in the Local Church of Lafayette-in- Indiana, who demonstrates active participation and Catholic leadership in their parish and parish youth ministry program. The scholarship selection committee will use the following criteria to determine the scholarship recipient. 1. Serves in leadership role in their parish youth ministry program or parish programs. 2. Demonstrates leadership in their parish or parish youth ministry efforts. Application Process The completed application forms should be forwarded to the Pastoral Office for Education by the Parish Youth Ministry Director, the Director of Religious Education, or the Parish Pastor no later than April 5, 2013. For Forms or Information Contact: Pastoral Office for Education 2300 South Ninth Street Lafayette IN 47909-2400 (765) 269-4670 FAX: (765) 269-4671 2

CHRISTOPHER WARNER MEMORIAL SCHOLARSHIP RECOMMENDATION FORM To be completed by the parish pastor, DRE or parish youth ministry coordinator and another adult (two recommendations are required). Use additional sheets as necessary. Name of Person completing form: Christopher Warner Memorial Scholarship Nominee: Parish/City: Year: 1. Please list the service opportunities this young person has performed in your parish, school, or community. 2. What strengths of this young person led you to nominate him/her for the Christopher Warner Memorial Scholarship? 3. Describe how this nominee relates his/her peers, adult parishioners and God. 4. Additional Comments. 3

CHRISTOPHER WARNER MEMORIAL SCHOLARSHIP APPLICATION FORM To be completed by Nominee. Christopher Warner Scholarship Nominee: Parish/City: Year: PLEASE ANSWER THESE QUESTIONS ON A SEPARATE SHEET OF PAPER. TYPED ANSWERS ARE PREFERRED. LIST EACH QUESTION BEFORE YOU ANSWER. 1. Please list the service you have offered during the past four years in your parish, school or community. Construct a chart like the following: Service Activity Community/School/Parish Frequency Raking leaves for elderly Community 2 yrs/ 4 hours each wk Church Parish 3 yrs/ once a month Tutoring School 2 yrs/ once a week 2. Describe why you are involved in service to others? Be specific. 3. Describe what being of service to others means to you? 4. Describe how you plan to continue to be of service to others after high school graduation. Be specific. 5. Describe how you put your Catholic faith into practice in your daily life. 6. To which college/university/or other school do you plan to attend? Have you been accepted? Name your major area of study. 4

DIOCESAN LEADERSHIP SCHOLARSHIP RECOMMENDATION FORM To be completed by the parish pastor, DRE or parish youth ministry coordinator and another adult (two recommendations are required). Use additional sheets as necessary. Name of Person completing form: Diocesan Leadership Scholarship Nominee: Parish/City: year: 1. Please list the leadership roles this young person has performed in your parish or parish youth ministry program. 2. What strengths of this young person lead you to nominate him/her for the Diocesan Leadership Scholarship? 3. Describe how this nominee relates to his/her peers, adult parishioners and God. 4. Additional Comments: 5

DIOCESAN LEADERSHIP SCHOLARSHIP APPLICATION FORM To be completed by Nominee. Diocesan Leadership Scholarship Nominee: Parish/City: Year: THESE QUESTIONS MAY BE ANSWERED DIRECTLY ON THIS SHEET OR ON A SEPARATE SHEET OF PAPER. TYPED ANSWERS ARE PREFERRED. LIST EACH QUESTION BEFORE YOU ANSWER. 1. How did your role as a leader in the parish ministry of which you are a member evolve? 2. Why were you willing to accept this responsibility of leadership? 3. Share some of the positive results that your ministry/program experienced during your time of leadership. 4. How has serving in this role of leadership impacted your faith and relationship with God? 6