Grant Application - High School - 2019/2020 First Name*Last Name*KSKJ Life Lodge Number#1 Chicago, Illinois - St. Stephen#2 Joliet, Illinois - St. Joseph#7 Pueblo, Colorado - St. Joseph#25 Cleveland, Ohio - St. Vitus#29 Joliet, Illinois St. - Francis DeSales#42 Steelton, Pennsylvania - St. Aloysius#44 S. Chicago, Illinois - Knights of St. Floridian#50 Pittsburgh, Pennsylvania - Blessed Virgin#52 Indianapolis, Indiana - St. Aloysius#53 Waukegan, Illinois - St. Joseph#59 Eveleth, Minnesota - Sts. Cyril & Methodius#63 St. Lawrence, Ohio - St. Lawrence#65 Milwaukee, Wisconsin - St. John the Evangelist#69 Great Falls, Montana - St. Joseph#79 Waukegan, Illinois - St. Mary#104 Pueblo, Colorado - Immaculate Conception#108 Joliet, Illinois - St. Genevieve#110 Cleveland, Ohio - St. Joseph#115 Kansas City, Kansas - St. Veronica#136 Willard, Wisconsin - Mary of Perpetual Help#143 Joliet, Illinois - St. John the Baptist#144 Sheboygan, Wisconsin - Sts. Cyril & Methodius#146 Cleveland, Ohio - St. Joseph#150 Cleveland, Ohio - St. Anne#153 Strabane, Pennsylvania - St. Jerome#169 Cleveland, Ohio St. Joseph#170 Lemont, Illinois - St. Anne#171 Duluth, Minnesota - St. Elizabeth#196 Gilbert, Minnesota Blessed - Virgin of Help#197 St. Cloud, Minnesota - St. Stephen#219 Cleveland, Ohio - St. Christine#226 Cleveland, Ohio - Christ the King#236 San Francisco, California - St. Francis#257 Washington, DC, Maryland - Bishop BaragaNot SureKSKJ Life Policy Number*Birthdate*Home Street Address*City*State*Zip*Mobile Phone Number*Parent/Guardian Phone Number*Personal Email* Preferred Method of Being Contacted (Check all that apply) Parent/Guardian Phone Mobile Phone - Text Mobile Phone - Call Personal Email High School Name*Year In School* Freshman Sophomore Junior Senior School Address*School City*School State*ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYExpected Graduation Date* How Will This Grant Help You?*Volunteerism Essay*Describe your favorite volunteer place/experience and why you enjoyed it. How do you see your experience relating with KSKJ Life’s mission and values?KSKJ Life Involvement Essay*Describe any personal or family involvement in KSKJ Life activities or benefits received. Please share what they have meant to you and your family.How Can Your Local Lodge Engage You? What Kind Of Activities Would You Be Interested In?*Headshot Upload*Upload headshot for promotional purposes. Please submit a high quality, professional headshot if possible. (Note: 8MB is the max file size) Proof of Enrollment Upload*Upload current course schedule or transcript reflecting full-time enrollment as defined by your school. Please note the file must include the current school year and school name. (Note: 8MB is the max file size) Previous Transcripts*Upload report card or transcripts from the previous year.How Did You Hear About the Education Grant Program?*FamilyFriendPostcard MailerLocal LodgeSales AgentWebsiteVoice NewsletterOther Pictures and answers may be used for marketing purposes. Applicants may be contacted by KSKJ Life for post-scholarship education/career plans.