Knights of Columbus Council #15625
St. Michael’s Catholic Community
2014 Jay Henry Memorial Scholarship Application
Introduction
The St. Michael’s Catholic Community Knights of Columbus Council #15625 is proud to announce the 2014 college
scholarship competition. The competition is open to military children of St. Michael’s Catholic Community who will
attend college as an undergraduate in the upcoming 2014-15 academic year. This year the council offers 4
scholarships in the amount of $500 each.
Essay Theme
The Knights of Columbus are driven by four core principles: Charity, Unity, Fraternity and Patriotism. Choose at
least 2 of the principles and write an essay no more than 1,000 words on what those principles mean to you and how
you practice those principles in your life.
Instructions
Fill out the cover sheet (page 3 of this document), and complete the Supplemental Information Sheet (page 4 of this
document). Staple or binder clip the following items (in order):
1. Cover sheet.
2. Two Letters of Recommendation from current teacher(s), coach(es), school board member(s) or school
administrator(s).
3. Supplemental Information Sheet (up to 2 pages total).
4. Your typed essay.
5. Supporting documentation – Include certified (they can be unofficial, as long as they are verified by a school
official) copies of your current academic transcripts. (If in college, include a copy of your college
transcripts; if in high-school, include a copy of your high-school transcripts), letters verifying leadership,
extracurricular activities, and community involvement.
Place your materials in a sealed 9 X 12 envelope, and mail your packet to:
Knights of Columbus Council #15625
Re: 2014 Scholarship Application
P O Box 1748
Travis AFB, CA 94535
Important: Packets must be postmarked no later than Friday, June 13, 2014. Late submissions will NOT be
accepted.
Important Dates
4 May 2014
Scholarship competition begins.
13 June 2014
Scholarship packets MUST be postmarked.
22 June 2014
Scholarship applicants notified.
Scholarship Competition Rules
1.
2.
3.
4.
All materials must be typed using a 12 point, Arial or Times New Roman font.
All work must be the original work of the applicant.
All materials must be unfolded and submitted in a 9 X 12 envelope postmarked no later than 13 June 2014.
Failure to follow the instructions may result in disqualification.
Questions may be directed to the Scholarship Chair – Duane Richardson:
derichardson89@gmail.com
Knights of Columbus Council #15625
St. Michael’s Catholic Community
2014 Jay Henry Memorial Scholarship Application
Supporting Documentation - Leadership, Extra-Curricular Activities, and Community Involvement:
Include evidence of all leadership, extra-curricular activities, and community involvement stated in your application.
Documentation may include, but is not limited to, the following: letters from organization leaders, proof of participation in
activities, certificates or awards with your name on them.
Supporting Documentation - Academic Performance (Transcripts): Include current, certified copies of
transcripts (they can be unofficial as long as they are verified by a school official) in your packet. If still in high school or
a freshman in college, include a copy of your high school transcripts. If you have completed at least your first year of
college, include a copy of all college transcripts.
Essay: Include your essay in your packet. Put your name in the header of each page. On separate sheets of paper,
type a double-spaced original essay of no more than 1,000 words on the essay theme listed on the first page in the
“essay theme” section.
Important Candidate Information
Ensure all of your materials reflect your best work. Make sure you proof read all materials before submitting your
packet. Before submitting your packet, it is a good idea to read your information out loud. Have someone else review
your work for clarity and to identify mistakes. Make sure the submission is grammatically correct, free of spelling errors,
and that details are accurate. If you are selected to receive a scholarship, you will be required to provide verification of
military dependent status and college enrollment.
Knights of Columbus Council #15625
St. Michael’s Catholic Community
2014 Jay Henry Memorial Scholarship Application
Cover Sheet
Date of Application:
Name:
Address:
City/State/Zip:
Date of Birth:
Phone Number:
Current High School:
Graduation Date:
or
Current
College/University:
Year/Level:
Verification of Eligibility
I plan to attend the following college/university in the upcoming Fall semester/quarter:
I have not yet committed to a college/university, but at this time I am considering the following institutions:
I hereby authorize the release of the scholarship application, references, and my academic records to the Scholarship
committee. I certify that all information provided by me is true to the best of my knowledge.
Student Signature:
Parent Signature:
(if a minor)
Date:
Date:
Knights of Columbus Council #15625
St. Michael’s Catholic Community
2014 Jay Henry Memorial Scholarship Application
Supplemental Information Sheet
A. Leadership: In the space below write about your leadership activities in high school and/or college.
B. Extra-Curricular Activities: In the space below write about your extra-curricular activities in high
school and/or college.
C. Community Involvement: In the space below write about your community involvement
activities in high school and/or college.