KAZMA FAMILY FOUNDATION SCHOLARSHIP WHO CAN APPLY

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KAZMA FAMILY FOUNDATION SCHOLARSHIP Administered by the Catholic Education Foundation of the Diocese of Joliet WHO CAN APPLY Only the students in the Class of 2019 who plan to attend one of the following Catholic schools in the Diocese of Joliet are eligible to apply: Benet Academy IC Catholic Prep Montini Catholic H.S. St. Francis H.S. Bishop McNamara H.S. Joliet Catholic Academy Providence Catholic H.S. Student must have SIGNIFICANT financial need. Student must actively attend a Catholic parish. WHAT SCHOLARSHIP INCLUDES $3,000 tuition scholarship for each of 4 high school years. An incentive program based on honor roll status which may increase the scholarship up to $5,000 per year. HOW TO APPLY Submit the application and required attachments by mail. Application can be found on line at www.cefjoliet.org. Financial need and income must be verified through FACTS grant and aid application. All supporting financial documentation must be not only submitted but verified by FACTS. Application Deadline March 1, 2015 1 SELECTION PROCESS Candidates will be selected by a committee which will consider all materials submitted in application packet. All applicants will receive written notice of scholarship awards by June 1.

KAZMA FAMILY FOUNDATION SCHOLARSHIP APPLICATION CLASS OF 2019 ONLY Administered by the Joliet Diocese Catholic Education Foundation APPLICATION DEADLINE MARCH 1, 2015 Please Print. Do not staple the documents. APPLICANT INFORMATION Name of Student: Address: City, State, Zip: Date of Birth: Gender: Name of school currently attending: Name of high school you plan to attend: Catholic Parish you attend: Best Phone to reach Parent: Parent Email Contact: 1

Family Information Student lives with: Two parents Mother only Father only Other Brothers/Sisters (Name/Age School Tuition cost): Did siblings receive a Kazma Scholarship in the past? ( ) No ( ) Yes If yes, list sibling s name/school/graduation year: Father s Name (Male Guardian): Address: Home Phone, Cell Phone: Employer: Position: Number of years employed there: Mother s Name (Female Guardian): Address: Home Phone, Cell Phone: Employer: Position: Number of years employed there: 2

Student Essay 250 words or less This section is REQUIRED to be hand written Attach additional pages if necessary Please tell us about yourself, your family, your interests, activities, service projects and what makes you happy. Include how being a Catholic has shaped the person you are today. 3

Parent(s)/ Guardian Questions This scholarship is a need-based scholarship, which means that it will be awarded to students who are able to demonstrate that paying for Catholic education will be a financial challenge. To enable us to thoroughly understand your personal and financial circumstances and make an informed decision, please answer the following questions: 1. What is your current financial situation; if you are experiencing a particular financial challenge at this time, please explain. 2. If you are legally separated or divorced, are there any provisions in your separation/ divorce judgment for the financing of Catholic education? Please explain the provisions. If there are no provisions, have you made any other arrangements for the financing of Catholic education? 3. Please describe any special information about your child or your family that you think the scholarship committee should know when reviewing this application. 4. Please list other scholarship applications that your student plans to submit. We declare that the information reported on this form, to the best of our knowledge, is true, correct, and complete. Father (Male Guardian) Date Mother (Female Guardian) Date 4

CHECKLIST In order to be considered for this scholarship all materials must be submitted by the deadline. Please ensure that all items on the checklist are included with your application packet. Do not staple any of the documents. I have enclosed 7 th and 8 th grade report cards and a copy of my high school entrance exam results. I have enclosed three letters of recommendation: an academic recommendation from a teacher or principal a religious recommendation from a priest, deacon, or religious sister at a Catholic parish a personal recommendation from a non-relative such as family friend, coach, Godparent. I have attached the most recent copy of my federal income tax forms. I have filled out the FACTS grant and aid application and submitted all required financial documents to FACTS by March 1, 2015. Applications can be completed at www.online.factsmgt.com. Mail original copy of application and above attachments to: Jane Lagger Program Director Catholic Education Foundation The Bishop Blanchette Catholic Center 16555 Weber Road Crest Hill, Il 60403 All materials must be postmarked by March 1, 2015. All information contained in this application is kept in the strictest confidence. Only members of the Kazma Scholarship Committee will review this application. 5