<p> Knights of Columbus</p><p>Cristo Rey Council 10659</p><p>GUIDELINES:</p><p>1. Applicant must meet all qualifications for entry into, and must be accepted by, an institution of higher learning as defined in guideline 2 below.</p><p>2. This scholarship award must pay for education in a university, college, junior college, community college, technical school, business school, or seminary. This selection is the student’s choice. Scholarship payout options (directly to student or to college financial aid office) will be decided by K of C 10659 scholarship committee.</p><p>3. Requirements: This completed application form and a copy of your most recent high school transcript and an essay of at least 250 words. Your essay must outline your personal reasons for seeking higher education. INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED!</p><p>4. The scholarship selection committee of Cristo Rey Council 10659 will select the recipient of this scholarship.</p><p>Return completed application and required items via:</p><p>Postal Mail Knights of Columbus Cristo Rey Council 10659 Attn: Scholarship Committee 11409 Tickford Dr. Del Valle, TX 78617-3531</p><p> or</p><p>E-mail [email protected]</p><p>Application must be postmarked or received no later than May 26, 2017</p><p>Have questions? Send an email to, [email protected]</p><p>Page 1 of 4 Name: ______(Last) (First) (Middle)</p><p>Address: ______(Street) (City, State, Zip Code)</p><p>Cell Phone No.: ______Email Address: ______</p><p>I hereby make this application to the Knights of Columbus, Cristo Rey Council 10659 for a scholarship in the amount of $300 to be used to partially support me while attending</p><p>(name of college/school) ______and majoring in ______for the term beginning in the (Fall, Winter, Spring) ______in (Year) ______.</p><p>Legal Guardian(1):</p><p>Name: ______</p><p>Relationship: ______(e.g. Mother, Father, Grandmother, Grandfather, Aunt, Uncle, Foster Parent)</p><p>Home Address: ______</p><p>Phone Number(s): ______</p><p>Occupation: ______</p><p>Company: ______Phone Number: ______</p><p>Yearly Salary: $______or, Monthly Wage: $______</p><p>Legal Guardian(2):</p><p>Name: ______</p><p>Relationship: ______(e.g. Mother, Father, Grandmother, Grandfather, Aunt, Uncle, Foster Parent)</p><p>Home Address: ______</p><p>Phone Number(s): ______</p><p>Occupation: ______</p><p>Company: ______Phone Number: ______</p><p>Yearly Salary: $______or, Monthly Wage: $______</p><p>Page 2 of 4 Name of Church or Parish YOU attend: </p><p>Name of School Currently Attending: </p><p>Extracurricular Activities: (If more space is needed, attach a separate page)</p><p>School Clubs/Groups: ______</p><p>______</p><p>______</p><p>______</p><p>______</p><p>Church Ministries/Groups: ______</p><p>______</p><p>______</p><p>______</p><p>Other Volunteer Activities: ______</p><p>______</p><p>______</p><p>______</p><p>Other scholarship(s), grant(s), and amounts awarded for this application time period:</p><p>______$______</p><p>______$______</p><p>______$______</p><p>______$______</p><p>______$______</p><p>Page 3 of 4 I hereby declare that these statements and attachments are all true and correct to the best of my knowledge and belief.</p><p>(Applicant’s Signature)</p><p>(Parent’s/Legal Guardian’s Signature)</p><p>(K of C 10659 - Grand Knight’s Signature) (May be obtained after application has been submitted)</p><p>The Knights of Columbus—Cristo Rey Council 10659, would like to thank you for your application and wish you the best in your future endeavors.</p><p>Page 4 of 4</p>