John K Rose Memorial Scholarship Application2016
Knights of Columbus of Our Lady of Lourdes Council #12025
John K. Rose Memorial Scholarship
2017
Thank you for taking the time to apply for the John K. Rose Memorial Scholarship. The John Rose Memorial Scholarship was created to honor the memory of John Rose, his commitment to the Knights of Columbus, his dedication to the Church and his love of North Carolina State University. The purpose of the scholarship is to recognize a deserving student from Our Lady of Lourdes Parish, who is either currently attending or accepted and planning to attend NCSU.
To ensure we have all the information needed for evaluation, please complete this application in full and include all attachments prior to submission. Once completed, please submit by mail or email to:
Mail: Attn: John Rose Memorial Scholarship Committee
Knights of Columbus of Our Lady of Lourdes Council #12025
2718 Overbrook Drive
Raleigh, NC 27608
Email:
Subject Line: John Rose Memorial Scholarship Application
*Please submit in either Word or PDF format
Scholarship Amount
$500
Deadline for Submission
April 15, 2016
Eligibility
Applicant must:
- Be a member of Our Lady of Lourdes Parish
AND
- Be currently accepted at and planning to attend NC State University in Fall 2016.
(this includes graduating high school students, transfer students, or currently enrolled students at NCSU)
Application
Applicant Information
Legal name in fullLAST / FIRST / M.I.
Permanent Residence
STREET AND NUMBER
CITY / STATE / ZIP CODE
BEST TELEPHONE
BEST EMAIL ADDRESS
Which year are you in the current academic year?
High School Senior College Freshman College Sophomore College Junior College Senior Other
Name of school currently attending:
Are you the first person in your family to attend college?
Your Programs and Activities
1. List any school activities such as clubs, publications, debate, dramatics, music, art, student government, etc.2. List any community activities (outside of school)
2. List internships, honors, awards
2. List Hobbies, Activities, Outside Interests
Reference Letters (Attach)
- Please attach a letter of recommendation from current or former teacher (typed)
- Please attach a letter of recommendation from a personal reference
Proof of Acceptance or Attendance (Attach)
Please attach proof of acceptance or attendance at North Carolina State University for Fall 2016. Examples: tuition bill, signed letter of intent to attend, etc. (Scholarship will be paid after proof of attendance is confirmed).
Certification of Parish Membership
*Our Lady of Lourdes Parish Office will certify membership in the Parish
Essay Question (Attach)
We want to get to know you a little better. On a separate page, please tell us why you desire to attend (or are attending) NC State University, why you’ve applied for this scholarship, and how you plan to be involved in the campus/community of NCSU as well as the Catholic campus ministry.
Application Checklist
Completed Application
Recommendation letter from current or former teacher (attachment 1)
Recommendation letter from a personal reference (attachment 2)
Completed Essay (attachment 3)
Proof of acceptance or current attendance at NC State University (ex, tuition bill, letter of acceptance) (attachment 4)
Office Use Only:
Certification of membership in our Lady of Lourdes Parish
Attachment 1: Recommendation from Current or Former Teacher
Name of Applicant ______
Name of Teacher ______
Recommendation:
Attachment 2: Recommendation from Personal Reference
Name of Applicant ______
Name of Personal Reference ______
Relationship of Personal Reference ______
Recommendation:
Attachment 3: Essay
Name of Applicant ______
Essay: Please tell us why you desire to attend (or are attending) NC State University, why you’ve applied for this scholarship, and how you plan to be involved in the campus/community of NCSU as well as the Catholic campus ministry.