Montelores Catholic Community

Montelores Catholic Community Council 04209

KNIGHTS MEMORIAL SCHOLARSHIP APPLICATION 2015

PERSONAL INFORMATION Name: Mailing Address: City, State, ZIP: Phone: Cell Phone: E-Mail Address: Age: Date of birth:

FAMILY INFORMATION Parent (Guardian) Names: Mailing address if different from yours: City, State, Zip: Phone: Cell Phone: List and designate all family members and age who impact your need for a scholarship.

Are you financially independent from your parents? Yes No Partial Are you married? If you have dependents, please list ages.

EDUCATIONAL HISTORY A. List schools and dates, other than grade school and junior high, from which you have graduated. If you plan to graduate by June of this year, list the anticipated date of graduation.

B. Please enter the scores for the following tests if applicable. SAT Composite: Verbal: Math: Composition: ACT Composite: Eng: Reading: Math: Science: CSAP Composite: Eng: Reading: Math: Science:

C. CURRENT (or last) GPA: __(4 pt. scale) Class Rank %

ASPIRATIONS: 1) Describe briefly your life goals and what you want to accomplish?

2) Describe briefly your career interests and strengths?

3) What do you plan to study? Describe briefly. SCHOOL(S) AND PROGRAMS THAT YOU PLAN TO APPLY FOR: List the schools and the anticipated expenses that you will be responsible for at each one. A.

SCHOLARSHIPS/AWARDS/FINANCIAL AND OTHER ASSISTANCE: A. List and briefly describe any other scholarships, awards, or other assistance you have applied for to help you meet your current career goals.

B. Do you plan on being employed in any way while you attend school? Briefly describe your intended employment and what the income will be used for.

C. Will you have family or other non-award financial assistance during school terms? Briefly describe.

NON-ACADEMIC HONORS AND AWARDS: List and briefly describe any honors or awards you have received.

CLUB / CIVICS: List your club memberships, include school, civic, honorary, fraternal, and religious organizations.

COMMUNITY SERVICE/VOLUNTEER WORK: List the entity or organization you served, the total number of hours served, and a brief statement about what you did.

EMPLOYMENT: List and briefly describe your employment experiences.

HOBBY / TALENT: List and briefly describe your hobbies, talents, or interests. SHORT ANSWER QUESTIONS: Please answer the following questions with short answers, less than 150 words each. A. Discuss your best and worst subjects in school and why you believe that you did well or poorly in those areas.

B. Other than in classes in school, in what areas have you acquired knowledge or life skills? Explain how you became interested and what you have achieved C. Have you ever been away from home, family & friends for an extended time period? If yes, discuss your feelings and emotions and how you coped with the separation. If no, discuss how you plan to deal with a possible long distance separation.

CHURCH INVOLVEMENT:  Where and when do you regularly attend Eucharistic Liturgy?  Where and when do you regularly attend Religious Education sessions?  Have you been confirmed or are you currently preparing for confirmation?  If no, explain your reasons for not receiving this sacrament.

 Have you ever been an Altar Server, Lector, Eucharistic Minister, or Usher? List where and when.

 What other Church related activities have you participated in and what did you gain from those experiences?

CERTIFICATION: I certify that I have completed this application and that the information I have submitted in it and in the supplementary materials is true and correct to the best of my knowledge.

Signature: Date: