SAINT JOSEPH EDUCATIONAL FUND APPLICATION 2009/2010

NAME OF APPLICANT'S PARENT/LEGAL GUARDIAN: _________________________________________

APPLICANT INFORMATION

NAME:                                        ________________________________________________________________

ADDRESS:                                 ________________________________________________________________

                                      ________________________________________________________________

TELEPHONE NUMBER:          ________________________________________________________________

 AGE:  _______________________                                   CURRENT SCHOOL YEAR:  ______________________

NAME OF CURRENT SCHOOL:  _____________________________________________________________

NAME OF SCHOOL/COLLEGE FOR 2009/2010:  ________________________________________________

GRADE POINT AVERAGE:   _________________________________________________________________

(If available, provide supporting material.  Additional documentation may be required.)

EXAMPLES OF PARISH INVOLVEMENT:   _____________________________________________________

EXAMPLES OF COMMUNITY INVOLVEMENT:  _________________________________________________

(I.e., girl/boy scouts, sports)

_________________________________  ______________________________________ _______________

APPLICANT'S SIGNATURE                           PARENT/GUARDIAN SIGNATURE                         DATE

 PLEASE ATTACH A BRIEF ONE OR TWO PARAGRAPH ESSAY EXPLAINING YOUR EDUCATIONAL INTERESTS AND PLANS.

FOR ELEMENTARY SCHOOL APPLICANTS, PARENTS ARE WELCOME TO ASSIST.