KNIGHTS OF COLUMBUS
COUNCIL 6226
SCHOLARSHIP REQUIREMENTS
Columbian Year 2024
SECTION 1 – GENERAL INFORMATION
Date Submitted:
-- mm/dd/yy
Applicant's Name::
*Name *Street Address Address (cont.) *City *State *Zip/Postal Code *Home Phone *Mobile Phone *E-mail High School Attending
Parent’s Names:
Enter Names
Knights of Columbus Cranford Council 6226 member’s name:
Member's Name
Relationship to Member:
Enter Here
Registration with Saint Michael’s Parish of Cranford
If not related to Knights of Columbus 6226 member, are you or one of your parents a registered member of Saint Michael’s parish in Cranford?
Yes No
If so, please name who is registered and your relationship to the person (self/ mother/ father):
self mother father
Please list history of employment if any:
SECTION 2 – ACADEMIC INFORMATION
**Please forward an official high school transcript to:
Edward Bagniewski, hfpbaggy@verizon.net or mail to:
Cranford Knights of Columbus P.O. Box 501 Cranford, NJ 07016
List Honor Courses and AP classes taken below:
List Honors Courses here
Please list colleges to which you have been accepted:
List colleges here
SECTION 3 – CHURCH / COMMUNITY / EXTRA CURRICULAR ACTIVITIES
Please list your Church Service, Community Service and Extra-curricular activities in the designated areas.
Your Personnel Involvement in Knights of Columbus events: (do not include member’s activities): ***Please note, there is a 1,900 character/250 word limit!***
List KofC Events here.
1a. CHURCH SERVICE
Please list Church Service(s) in which you are involved (List Church Service, Organization, Contact Name and Phone Number, and a brief description of this Service):
List Church Service here.
List additional Church Service below:
1b.COMMUNITY SERVICE
Please list Community Service(s) in which you are involved (List Community Service, Organization, Contact Name and Phone Number, and a brief description of this Service):
***Please note, there is a 1,900 character/250 word limit!***
List Community Service here.
List additional Community Service below:
EXTRA-CURRICULAR ACTIVITIES (In which you took part during High School)
Please list Extra-curricular Activities in which you are involved (List Extra-curricular Activity, Organization, Contact Name and Phone Number, and a brief description of this Service): Please note, there is a 1900 character/250 word limit!
List Extra-curricular Activity here.
List additional Extra-curricular Activity below:
I claim that the above information provided is true and that failure to be truthful on this application may disqualify me from consideration. Applicant shall be responsible for all paperwork required to be submitted by the application deadline date. Failure to submit any required paperwork may result in disqualification from the application process.
Signature: (Type/Sign your name)
Date Signed:
