Application 2018
Email address *
Name *
Address *
Phone Number *
Current School *
Grade
Age *
Parent Name *
List any school activities and/or organizations in which you have participated and any leadership roles you have taken. Also list any awards you have received.
Or attach a list of your school activities and/or organizations in which you have participated and any leadership roles you have taken. Also include any awards you have received.
List all volunteer, youth, civic, religious or other activities in which you have participated. Include the name of the Group/Activity, Responsibilities, and dates of activity.
Or attach a list of all volunteer, youth, civic, religious or other activities in which you have participated. Include the name of the Group/Activity, Responsibilities, and dates of activity.
Please identify any special circumstances that you believe the selection committee should know of in order to give your application particular attention.
Question 1: Please identify how this scholarship will be used. Include the name of the school, program or organization, date, and the total cost as well as other sources of funds that will be used. *
Question 2: Name one person who has influenced your life and tell why. *
Question 3: “Pay It Forward” is a concept frequently heard today. What does it mean to you and how might you pay it forward? *
Question 4: How can teenagers be leaders in Holy Redeemer Parish? *
Upload the most recent copy of your report card. *
Required
Student Signature: "To the best of our knowledge the information in this application is correct. We fully understand that any misrepresentation of information in the application may revoke any rights to the award. If for any reason the scholarship is not used to attend the school/program for which this scholarship is provided, I will forfeit the award." My name below is my digital signature agreeing to above. *
Date *
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DD
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"To the best of my knowledge the information in this application is correct. I fully understand that any misrepresentation of information in the application may revoke any rights to the award. If for any reason the scholarship is not used to attend the school/program for which this scholarship is provided, my child will forfeit the award." My name below is my digital signature agreeing to above. *
Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
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