Form In-Ocy1 - Outstanding Catholic Youth Scholarship Application

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IN-OCY1
Knights of Columbus
DUE BY:
Feb. 28
INDIANA STATE COUNCIL
OUTSTANDING CATHOLIC YOUTH SCHOLARSHIP APPLICATION
(Please Print or Type. Use additional pages as necessary.)
Council Number __________ submits the following nominee for the Outstanding Catholic Youth
Award:
Nominee Information:
Name: ________________________________________________________________________________
Address: ______________________________________________________________________________
_______________________________________________________ PHONE _____________________
School:
______________________________________________________________________
Parish:
______________________________________________________________________
Father's Full Name:
____________________________________________________________________
Father's Occupation: ____________________________________________________________________
Mother's Name: ________________________________________________________________________
Mother's Occupation: ___________________________________________________________________
Number of Brothers: ________ Number of Sisters: ________
Parents’ Address (if different from nominee's):
______________________________________________
______________________________________________________________________________________
Application Requirements:
This application cover sheet has information on front and back - please remember to provide information satisfying
application requirements on both sides. Provide the following information and attach this cover-sheet for submission.
Please include nominee's photograph.
I. SPIRITUAL, CHURCH AND PARISH INFORMATION
Please list and describe the works and accomplishments of your nominee within the structure of the nominee's parish
organizations.
Please list and describe the nominee's Spiritual and Corporal Works of mercy, how these works benefit the spiritual
welfare of those around the nominee, and how their performance has affected the nominee spiritually.
II. SCHOOL
Scholastic Grade Average: 9th ______ 10th ______ 11th ______ 12th ______
Current Class Rank: __________ out of __________ students in the 12th grade.
Please include a copy of the nominee’s high school transcript.
[continued on next page]

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