APPLICATION FOR KRAMER FOUNDATION

FINANCIAL AID SCHOLARSHIP

IGNITE Discipleship Retreat for JH Youth

To be filled out by parish contact person (DRE, CRE, Youth Minister, Pastor or other official parish staff)

IMPORTANT: This form must be accompanied by a letter from you on parish or Catholic school letterhead stating the reason why a youth is requesting a scholarship and the amount requested. You may include in this letter the amount your parish or school is also contributing to send this young person to IGNITE. You may also include a copy of the letter from the youth’s parents/guardian requesting the need if available.

Please Print Clearly

Youth Participant’s Name______

Name of Person Requesting Scholarship (parent/guardian)______

Address______

Phone #_(Day/Cell)______(Eve)______

Name of Parish or School ______

Contact Person (your name) ______

Phone______

Email Address______

Amount of Request (between $10- $60): $______

I certify that this person has expressed sincere financial hardship and support him/her receiving some scholarship assistance from the Kramer Foundation for Catholic Education.

______

Signature of Contact Person Date

Scholarships will be awarded depending on need and on a first-come first-serve basis.

Limit of two scholarships awarded to a single parish.

Applications are due into our office by May 6, 2013 (not postmarked by). We are unable to consider applications received after that date.

For office use: Rec’d on______by______