PERRAULT SCHOLARSHIP APPLICATION








Are you Catholic? YesNo

Are you or one of your parents / guardians a registered member of St. Michael’s Church? YesNo



Have you been accepted? YesNo



List the names and phone numbers of two references and your association with them (i.e. teacher, neighbor, employer, family friend).






List all activities and organizations in which you now are or have been an active participant during the last four years.

1. SCHOOL and /or WORK EXPERIENCE
list Organization/Employer, Dates and Special Recognition/Accomplishments

2. CHURCH and COMMUNITY SERVICE
list Organization/Employer, Dates and Special Recognition/Accomplishments

Upload an additional essay:


BY COMPLETING AND SIGNING THIS APPLICATION, I INDICATE THAT THE INFORMATION IS TRUE AND ACCURATE. IN THE EVENT THAT I AM AWARDED A SCHOLARSHIP AND DO NOT USE IT FOR POST-SECONDARY EDUCATION THIS YEAR, I WILL RETURN THE FUNDS.
I ALSO GIVE PERMISSION TO ST. MICHAEL’S CHURCH AND TO THE SCHOLARSHIP COMMITTEE TO RELEASE BASIC INFORMATION ABOUT ME (FOR PUBLICITY PURPOSES) IN THE EVENT THAT I AM GRANTED A PERRAULT SCHOLARSHIP.