2015 Knights of Columbus,

Chilliwack Council #3478

Bursary

Ø  2 Two awards: Amount: $1,000.00 each

Ø  A student must be proceeding to a post-secondary institution.

Ø  Candidate need not be the dependent of a KC member.

Ø  Criteria used for selection: Academic Achievement, School Activity, Community Activity, an essay on family values and lifestyle and Financial Need.

Ø  Award payable with proof of registration.

Ø  Student has one year to collect the award.

Ø  To be considered for the bursary, the attached application must be completed in full, along with any requested attachments.

Knights of Columbus Chilliwack Council 3478

Application for Student Bursary

Application Information

The Knights of Columbus are proud to offer a bursary of $1000.00 to be awarded to students completing Grade XII and proceeding to a recognized post secondary institution in the province of British Columbia.

We are pleased to offer the following bursaries to the following high schools (Two per School):

·  Sardis Senior Secondary School - Bursary to graduating student.

·  Chilliwack Senior Secondary School - Bursary to graduating student.

·  St. John Brebeuf Regional High School - Bursary to graduating student.

·  G W Graham Middle Secondary – Bursary to graduating student.

The recipient has up to one year following high school graduation to collect the Bursary and to do so, must submit acceptable proof of registration in the post secondary institution within the province of British Columbia to the Chilliwack Knights of Columbus.

Please complete the attached application form and submit it in accordance with the instructions and deadline date provided by your school official responsible for scholarship or bursary matters. Also, your application must be filled in carefully, concisely, completely and independently in order for it to receive consideration by our review committee. The information provided will be reviewed and retained in complete confidence. Incomplete applications will not be considered.

Recipients will be notified in the manner and custom prescribed by the school official responsible for bursary matters. This notice is usually given at the graduation ceremony for the particular high school.

While we can only award the numbers of bursaries specified above, we wish every applicant and graduating student all the best in their future educational and career endeavours.

The Knights of Columbus Chilliwack Council #3478, Chilliwack, BC

Rev. Jan 31, 2015


Knights of Columbus Bursary Application Information:

*** (MUST BE COMPLETED IN FULL WITH REQUIRED ATTACHMENTS TO BE CONSIDERED)

Name: Mr., Miss, Ms.

First Last

______

Mailing Address: Street or Box number: ______

City, Province, Postal code: ______

Home phone, (or best contact number): ______

Date of Birth Day/Month/Year: ______

High School currently attending: ______

Post-Secondary Institution that you plan to attend: ______

Program that you plan to study: ______

Start Date: ______

GPA as of date of application: ______

**** (Copies of TVR (Transcript Verification Record) and report card WITH GPA must be attached).

Parents or Guardians:

Name: ______Occupation: ______Est Annual income: ______

Name: ______Occupation: ______Est Annual income: ______

Number (and age) of dependants in family at home or attending school: ______

______

Please include a short description of your involvement in each of the following areas. (Add separate page or write on the reverse side, if necessary):

1)  School Volunteer Activities: ______

______

______

______

______

______

2)  Community Volunteer Activities: ______

______

______

______

______

3)  Why do you need a Bursary? ______

______

______

______

______

4)  Describe any awards and/or achievements: ______

______

______

______

5)  Estimate of annual Post Secondary Expenses: (List tuition, Accommodation, Food, Books, etc.): ___

______

______

______

______

6)  What are your long term goals and aspirations?:______

______

______

______

7) Essay: The Knights of Columbus is a Catholic, Family and Fraternal Order. In 150-250 words, written exclusively by yourself, please tell us what you think is necessary to foster good family relationships. Also how you contribute to your family to accomplish that. (This essay must be attached as a separate page to your application, or the application will be disqualified.) Attached YES NO

I wish to apply for the Knights of Columbus bursary and certify the foregoing as accurate and have been completed independently by myself.

______

Applicant’s signature Date

Rev 2015 01 31