2015 Knights of Columbus “Faith in Action” Council 2179 Scholarship Application Please type or print legibly Student Name ________________________________________ Birth Date _______________ Parent Name(s) ________________________________________________________________ Address _______________________________________________________________________ NH City _________________________________ State __________ Zip _________________ Phone _______________________________ Email ______________________________ You are a registered parishioner at (check one): St Michael: ___ St Mary: ___ Current school attending ______________________________________________________________ Catholic High School attending Freshman Year (Fall 2014): ___________________________________ Extra Curricular Activities & Community Service   List activities in the order of importance to you, indicating how long you participated Please include hours spent outside the classroom only No. of hours__________________ Year(s) involved: ____________ Name of supervisor(s)__________________________________________________________________ Organization(s)________________________________________________________________________ List any other involvements in activities and/or organizations on a separate sheet and attach the list Leadership Position(s)__________________________________________________________________ Awards______________________________________________________________________________ Recognition, Etc_______________________________________________________________________ I verify that the volunteer hours listed for my organization or projects are accurate Student Signature_____________________________________________________ Parent Signature______________________________________________________ (See attached sheet for description of required essay to be submitted) Council 2179 Scholarship Application Instructions Only applications which have adhered to the following instructions will be considered 1. Any child of a registered family at St Michael or St Mary parish is eligible 2. Child must be entering a Catholic High School for Freshman Year class (Fall 2014) 3. Write and submit an essay on what you (the student) experienced and learned from putting your “Faith in Action” toward selflessly serving others in the community. - Length of essay: 500 - 550 words 4. One Scholarship award will be presented in the amount of $500 5. All Applications must be received prior to the end of the day on May 31, 2015 to be considered Applications can be submitted to the Church office or mailed to: Knights of Columbus Attn: Grand Knight 2179 9 Lincoln St Exeter, NH 03833