High School Graduating Students



High School Graduating Students

Application for

Knights of Columbus Leroy Reindl Memorial Scholarship

(This application should be typed or written neatly in black ink)

NAME____________________________________________________________________________________

Last First Middle

ADDRESS________________________________________________________________________________

PHONE__________________________________ DATE OF BIRTH_________________________________

NAME OF PARENTS (or GUARDIAN)________________________________________________________

EMPLOYERS & OCCUPATION OF PARENTS_________________________________________________

_________________________________________________________________________________________

SCHOOL PLANNING TO ATTEND___________________________________________________________

COURSE OF STUDY_______________________________________________________________________

HAVE YOU APPLIED FOR ADMISSION____________HAVE YOU BEEN ACCEPTED_______________

HAVE YOU APPLIED FOR OTHER SCHOLARSHIPS________________AWARDED_________________

ARE YOU NOW OR HAVE YOU BEEN EMPLOYED__________WHERE___________________________

WHY ARE YOU APPLYING FOR THIS SCHOLARSHIP (USE REVERSE SIDE)

_______________________ __________________________________________________________ Date of Application Signature of Applicant

1. This scholarship is open to any Custer High School graduate or to a child of any Knight of Columbus who is a member of St. Brendan’s Council.

2. The scholarship will be in the amount of $250 and is to be used for tuition and fees.

3. This scholarship will be awarded on the basis of need, aptitude, and desire

4. This scholarship will be available to the recipient the beginning of the second semester or second quarter that he/she is enrolled in school.

5. Recipient can receive this scholarship one time only and must be used within a two year period or time.

6. Turn application in by March 30 to Joe Uhrich

1203 Canal Street

Custer SD 57730

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