KNIGHTS of COLUMBUS St. James Council 1728 1900 Central Avenue Kearney, NE 68847 Application for Knights of Columbus Council 1728 Scholarship Name_______________________________________________ Date______________ (Last) (First) (M.I.) Father’s Name________________________________________ Address________________________________________________________________ (Street / P.O.Box / Apt.) (City) (State) (Zip) Date of Birth___________________ Social Security Number_____________________ High School now attending or did attend______________ Year of Graduation_________ College now attending or planning to attend____________________________________ Your G.P.A._________________on a scale of_________________ Your Numerical Rank in Class_______of __________.(High School Applicants ONLY) Your Composite ACT Score_________ English________ Math_________ Science________ Reading________ (OR) Your SAT Score Verbal_______ Non-Verbal_______ Total_______ Planned or Current College Major____________________________________________ INSTRUCTIONS I. On a separate sheet, please describe your extracurricular activities. This would include any family, sports, church, academic, or fine arts related groups or activities. Also describe any awards, achievements, or recognition you may have received. Be sure to put your name on any additional sheets. II. If in high school, please attach a letter of recommendation from a teacher familiar with your academic activities. If in college, please attach a letter of recommendation from an instructor in the area of your major. III. Attach a copy of your high school or college transcripts. ONLY COMPLETE APPLICATIONS WILL BE ELIGIBLE Return your completed application by April 15 to: Clint Witte K of C Scholarship Chairman 5811 Avenue Q Kearney, NE 68847