KNIGHTS OF COLUMBUS

WESTBURY COUNCIL #1012

High School Scholarship Application Receipt Deadline: April 30

Applicant Information (Please type or print clearly)

Student’s Name: __________________________ Telephone #____________________

Current:

Address: __________________________ School _______________________

__________________________ Parish ________________________

How often do you attend Mass a month? _____________________

High School to be attending: ________________________________

Applicant’s Signature: ____________________________________ Date: _____________

__________________________ _________________________

Parent or Guardian’s name (print) Parent or Guardian’s signature

Requirements: -Applicant must be a child or grandchild of a Knight of Columbus Westbury Council 1012 member who is in good standing. Children of deceased members who were in good standing at the time of their demise are also eligible.

Name of Member: ________________________________ ______Parent ______Grandparent

Financial need is not a qualification. This completed Scholarship Application MUST be accompanied by the following documents, no other documents will be considered, and no documents will be returned to the applicant:

1. Proof of registration in a Catholic High School for the academic year beginning September
2. An essay, written by the applicant, describing his or her involvement in activities within the applicant’s church, school and community, including why you have decided to attend a catholic high school and continue your catholic education.

Instructions and applications forms are made available by request and at our Website located at:

http://kofc1012.tripod.com

All completed applications MUST be received by April 30, and should be mailed to:

Chairman, Scholarship Committee

Knights of Columbus Westbury Council #1012

P.O Box 163

Westbury, New York 11590

2007-2008 K of C Application