Thank you for your interest in the Catholic Community of the Holy Spirit, Knights of Columbus Councils Catholic Education Scholarship Fund.

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1 Dear Applicant, Thank you for your interest in the Catholic Community of the Holy Spirit, Knights of Columbus Councils Catholic Education Scholarship Fund. The scholarship was established to support catholic education for active members of The Catholic Community of the Holy Spirit. The number of annual scholarships awarded and their value is determined by funds made available through Knights of Columbus charitable contributions. Good Luck and God Bless you and your family! Respectfully, Douglas A. Kalbach Scott Brown Douglas A. Kalbach Scott Brown Grand Knight Grand Knight Holy Name Council #12503 Dr. Laurence Devlin Council #10392

2 Application Rules of Eligibility 1. The number of scholarships awarded and their value is determined by funds made available through Knights of Columbus charitable contributions. 2. Application is open to any registered member of The Catholic Community of the Holy Spirit Parish in grades K through A completed application must include the following: Completed and signed application forms. A letter of recommendation from a teacher, counselor, priest or principal. A 250 word or less essay explaining Why Catholic Education is important to you. Please attach on a separate sheet of paper. A copy of current school transcript. 4. The Scholarship Committee must receive proof of attendance, or an official copy of acceptance to the Catholic school or transcript named in the application. 5. Deadline for filing the application and all supporting documentation is May 28, All materials submitted are not returnable. 6. The decision of the Knights of Columbus Scholarship Committee will be final. 7. Any scholarship applicant or recipient is encouraged to reapply the following year. 8. All scholarship recipients are required to attend Mass at The Catholic Community of the Holy Spirit in Mullica Hill to recognize their award on Sunday, September 14, 2014 at 10:30 am.

3 Application Applicant s Name: Applicant s Address: Phone# Date of Birth: / / Father/Guardian Name: Mother/ Guardian Name: Grade you will enter in September: Please list church and community activities: Please list academic achievements/awards: Please list any other information you feel may be pertinent to this application:

4 TO BE COMPLETED BY SCHOOL OFFICIALS Attach additional sheets if necessary Please mail directly to the Scholarship Committee. Name of Student: Name of School: School Address: Phone Number: Name of Principal/President: The above information has been furnished by: Signature: Printed Name: Title: Date: PLEASE INCLUDE TRANSCRIPT OF SCHOLASTIC RECORD AND MAIL TO: CATHOLIC COMMUNITY OF THE HOLY SPIRIT KNIGHTS OF COLUMBUS COUNCILS 17 EARLINGTON AVE MULLICA HILL, NJ DEADLINE FOR RECEIPT MAY 28, 2014

5 Verification Form I hereby apply for the Catholic Community of the Holy Spirit Knights of Columbus Councils Catholic Education Scholarship Fund for the academic year beginning To be used at (Name of Catholic School): School Address: The information given in this application for the Catholic Community of the Holy Spirit Knights of Columbus Councils Catholic Education Scholarship Fund, I affirm is true and complete. I have read all the rules of eligibility printed on this application and I hereby accept and agree to those rules. Applicant s Signature: Applicant s Printed Name: Date: / / I hereby consent to the filing of this application for the Catholic Community of the Holy Spirit, Knights of Columbus Councils Catholic Education Scholarship Fund and accept and agree to the rules of eligibility: Parent or Guardian s Signature: Parent or Guardian s Printed Name: Date: / / Pastor/Parish official verification of registration in the Catholic Community of the Holy Spirit parish Print Name Signature Date / / DEADLINE FOR RECEIPT: May 28, 2014 Catholic Community of the Holy Spirit Knights of Columbus Councils Catholic Education Scholarship Fund 17 Earlington Ave Mullica Hill, NJ 08062

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