Our Lady of Lourdes Parish Scholarship / Pope Paul VI Family Scholarship Application
Deadline for re-enrolling families: March 10, 2017.
Email address
Choose scholarship for which you are applying
Parents with more than one child enrolled at Our Lady of Lourdes should check BOTH boxes to apply for both scholarships.
Required
A. Applicant Information
Primary Applicant's Last Name
The name of the parent/guardian of the enrolled/prospective student(s)
Your answer
Primary Applicant's First Name
Your answer
Relationship to Student(s)
Click on the dropdown menu and choose one of the following
Secondary Applicant's Last Name
Name of second parent/guardian of enrolled/propsective student(s)
Your answer
Secondary Applicant's First Name
Your answer
Relationship to Student(s)
Click on the dropdown menu and choose one of the following
Current Address
Street Address
Your answer
City, State, Zip Code
Your answer
Email address
Current, active email address
Your answer
B. Student Enrollment Information
In the fields below, individually list the name(s) of each child enrolled/registered for the academic year, 2017-2018.
Student's Last Name
Your answer
Student's First Name
Your answer
2017-2018 Grade
Student's Last Name (2)
Your answer
Student's First Name (2)
Your answer
2017-2018 Grade (2)
Student's Last Name (3)
Your answer
Student's First Name (3)
Your answer
2017-2018 Grade (3)
Student's Last Name (4)
Your answer
Student's First Name (4)
Your answer
2017-2018 Grade (4)
C. Parish Registration Information
Parish ID (Envelope Number)
Parish ID/Envelope number is printed immediately above the name and address on the parish contribution envelopes
Your answer
D. Parish Community Service
A complete listing of parish ministries is available online and from both the School and Parish offices. Those who serve in leadership roles in Parish Organizations (e.g. Women's Council, Men's Club, etc.) may be considered on a case-by-case basis at the discretion of the Scholarship Application Committee.

It is important that when more than one parent/legal guardian is involved in ministry, that this is noted accurately.

Please note the ministry/ministries in which you are *regularly active*.

Applicant Name
Name of Parent/Legal Guardian involved in ministry
Your answer
Ministry Involvement
Choose from the dropdown list below - If NOT involved in parish ministry, choose the first option.
Applicant Name (2)
Name of Parent/Legal Guardian involved in additional ministry
Your answer
Ministry Involvement (2)
Choose from the dropdown list below - If NOT involved in parish ministry, choose the first option.
E. Parish Offertory Program Information
A regular pattern of participative support of the mission and ministry outreach of the church is reflected through a pattern of participation in the parish offertory program either by using parish envelopes or our parish electronic giving option, Faith Direct. Select the frequency of participation.

NOTE: Information is verified with Parish Census records.

Frequency of Offertory Participation
Required
F. Electronic Signatures
By submitting this form, I/we attest to the accuracy of the information I/we have provided in this form, and I authorize the verification of the information provided.

By checking the box below, and by typing my name below, I understand I am electronically signing my application.

Required
Name
Your answer
Name
(if ministry involvement is to be verified for second person)
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
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