Tuition Grant Program Page 2
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2NEW YORK STATE COUNCIL, KNIGHTS OF COLUMBUS
Control Number: ____________
SCHOLARSHIP PROGRAM
N.Y. State Council
PURPOSE:
To provide Financial Assistance to dependent children, grandchildren and
Knights of Columbus
legal wards of Knights of Columbus for the furthering of their Catholic High School
education.
High School Tuition Grant Program
TUITION GRANT AWARDS:
Tuition Grants based upon the financial need of the family.
PLEASE PRINT CLEARLY
Because of the sensitive nature if the information required, the Committee will only see
part of the application which contains the material necessary to award a grant and not
who is applying. Applicants MUST supply all the information specified under
Student Name:_______________________________________________________
"REQUIREMENTS" below.
Eight (8) Tuition Grants will be awarded to INCOMING 9th Grade students entering a
Address :___________________________________________________________
New York State Catholic High School. One tuition grant in the amount of $500 .00 will
___________________________________________________________
be awarded for each diocese in the State of New York. Awards must be renewed for
each subsequent year the students attends a New York State Catholic High School by
Signature of Applicant:________________________________________________
submitting a renewal application. Total Award $2000 .00
1. Applicant must be a son, daughter, grandchild or legal ward of a Knights of Columbus in good
REQUIREMENTS:
Years at present address:__________
Telephone #:____________________
standing. Children of deceased members who demise occurred while in good standing are also eligible.
Date of Birth:______________________
Age:____________
2. Acceptance in a New York State Catholic High School for the school year beginning
in September of that year. PROOF OF ACCEPTANCE IS REQUIRED.
Present School:____________________________
Grade;___________
3. All applications MUST bear the council seal and the signature of the Grand Knight
Full School Name and Address and Grade for which Student HAS BEEN ACCEPTED:
and the Financial Secretary verifying good standing of sponsor member.
4. Signatures of Parent or Guardian and the Sponsoring Member are required to certify
___________________________________________________________________
the accuracy of all information appearing on the application. Current W-2 and 1040
Forms MUST accompany all Applications.
___________________________________________________________________
5. After the first year, renewal information must be submitted for continuation of the
Tuition Grant for each consecutive year (up to a maximum of 3 additional years).
___________________________________________________________________
Renewal will depend upon continued attendance in a New York State Catholic High
I vouch that all information given is true and I will present the required proof if
School and maintenance of a scholastic record that is satisfactory , as well as evidence
of continued financial need (current W-2 and 1040 forms).
requested. I also give permission to obtain the Diocesan High School test scores, if
applicable or needed.
6. Financial need will be the deciding factor as is obvious from the confidential
information requested on the application, Because of the sensitive nature of the
Parent/Guardian Signature:_________________________________________
information, the committee will only see that part of the application which contains this
material.
Sponsor's Name and Council Name & Number:__________________________
7. Failure to answer all questions completely or to obtain the required signatures will
be the cause for disqualification or return of the application . Write "NONE", "NO", or
_______________________________________________________________
"NA" if any questions to not apply. (NOTE: Any documents received other than those
specified will not be considered in the Selection Committee’s decision.)
Sponsored By:
Father
Grandfather
District Number
8. THE DECISION OF THE COMMITTEE IS FINAL. Only winners will be notified.
Grand Knights Signature:___________________________________________
OTHER RELATED INFORMATION
1. For purposes of filing, the location of the Sponsoring Member's Council decides the
Financial Secretary Signature: _______________________________________
diocese of residence.
2. A student entering the 9th grade of a New York State Catholic High School may
Council Seal
apply for both a Tuition Grant and a Scholarship Award, but may only receive ONLY
MUST be placed here
one or the other.
3. Payments of Tuition Grant Awards are made annually and mailed directly to the
Catholic High School in part payment of Tuition.
4. Tuition Grant notification will only be made by letter from the New York State
Knights of Council Chairman. ONLY WINNERS WILL BE NOTIFIED.
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