Rita Myers Memorial Scholarship Application

- Parish Groups
  - Knights of Columbus
    
    Rita Myers Memorial Scholarship Application
  - Women's Guild

The Rita Myers Memorial Scholarship will this year award one (1) scholarship of $500 to a qualifying high school student towards the cost of tuition at a Catholic High School for the 2022-2023 Academic Year.

The Rita Myers Memorial Scholarship was founded by Mike and Robin Myers jointly whith the Knights of Columbus Father Sheldon Kelly Council #11224 as a tribute to Mike's mother, Rita Myers, who was a parishioner at Sts. Simon and Jude for several years.

Applicants must meet the following criteria to be considered:

a) Be a practicing Catholic and active parishioner at Sts. Simon and Jude;
b) Planning to attend a Catholic High School for the 2022-2023 Academic year;
c) Show a demonstrated commitment to volunteering, including at the parish; and
d) Complete and submit the following application

Scholarship Applications are due by April 30th, 2022. Scholarships will be paid in the form of a check direclty to the high school the successful applicant is attending.

(If you plan to fill out the PDF version, it can be mailed in (Knights of Columbus 9350 High Free Pike, West Jefferson, OH 43162 or dropped off at the Parish Office marked "Attn Knights of Columbus.)
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- First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
- Street Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- Email REQUIRED Please fill out this field. Please enter an email address.
- Date of Birth REQUIRED Please fill out this field. Please enter a date.
- Gender REQUIRED Please fill out this field.
- Name of Grade School Attended REQUIRED Please fill out this field. Please enter valid data.
- Name and Address of Catholic High School attending in the Fall REQUIRED Please fill out this field. Please enter valid data.
- Name of parent(s) or legal guardian(s) REQUIRED Please fill out this field. Please enter valid data.
- Address of Parents (if different than one listed above) Please enter valid data.
- Volunteer/Extracurricular Activities REQUIRED
  Please provide a list of extracurricular and volunteer activities that you have actively participated in over the past year. Please include both school and parish activities (i.e. PSR, Youth Group, Altar serving, etc.). For volunteer activities, please provide your estimated total number of volunteer hours for that activity over the past 12 months.
  Please fill out this field.
- Essay on the Value of Catholic Education REQUIRED
  Please answer the follow essay question: What is the value of a Catholic Education to you and how will (or has) a Catholic Education impact your life and faith? Please share examples. (300-500 words)
  Please fill out this field.
- I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I also consent that if chosen as a scholarship winner, my picture may be taken and used to promote the scholarship program.
  
  I hereby understand that if chosen as a scholarship winner, according to the Father Sheldon Kelly Knights of Columbus Scholarhsip Committee, I must be present at any potential awards ceremony or reception to recieve my scholarship award.
  
  I hereby understand I will not submit this application without all required attachemnts and supporting information. Incomplete applications or applications that do not meet eligibility criteria will not be considered for this scholarship.
  I Agree Please select this field.
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