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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