Catholic Community Foundation - Give Today ... Impact Tomorrow

Online Scholarship Application Form

Application Deadline:

Tuesday, April 15, 2008 by 3:00 p.m. at the Regina Elementary School Office, the Regina Jr./Sr. High School Office, or the Catholic Community Foundation Office (1222 Rochester Avenue). Applications received after 3:00 p.m. on that date will not be considered.

Download application form in Doc format

Download application form in PDF format

Date:
Name:	*
Address:	*
Email Address:	*
Phone:	*
Current Grade:	*
Please consider me for the following scholarhips:	*
Grade Point Average (GPA):	*
Community Sponsored Activities (Scouts, 4-H, Fall Fun Volunteer, etc.)
School Sponsored Activities (Class Officer, Athletics, Student Council, etc.)
Church Sponsored Activities (Altar service, Free Lunch Volunteer, etc.)

Demonstrated Christian Values at Home (Helping parents, prayer life, kindness to others, etc.)



Please state why you feel the Scholarship Committee should award this scholarship to you. Please limit your response to 300 words preferred. If the applying student is currently in 6th grade or above, we request the student personally compose this short essay for the application to be considered for scholarship.




*Financial need is shown by qualifying for financial aid through Regina’s Private School Aid Service (PSAS) tuition assistance program. Please click on the following statement signifying agreement.

I have utilized the Private School Aid Service (PSAS) application process at Regina and hereby authorize the Regina Business Office to acknowledge my receipt of financial aid towards tuition. I/We understand that if the above statement is not selected, the applicant will not be considered for a need-based scholarship.

Signature of parent

Parent present while filling out form

Signature of parent

Parent present while filling out form

* Indicates required fields