The Greater Cleveland
Catholic Business Connection
Scholarship Application 2009
PLEASE PRINT
(illegible
forms will be discarded)
Student Name:
Last _____________________________________First
___________________________________
Parent/Guardian Name
Last _____________________________________First
___________________________________
Address______________________________________________________________ apt
________
City _______________________________
Zip ________________
Home phone (________)____________________ Other (cell)
(_________)___________________
Parent/Guardian e-mail ________________________________________________________
Your Catholic
School_____________________________________________________________
Address __________________________________________________________________
City _______________________________
Zip ___________________
Phone (________)_________________________
Principal ________________________________________
Grade entering
(2008/2009
year)_________
Your Parish___________________________________________________
Pastor/Priest Name __________________________________________________
Address ______________________________________________________________________
City ________________________________
Zip _____________________
# of years Parishioner _______
I deem all information
is accurate to the best of my knowledge.
_________________________________________________
__________________________
Parent/Guardian signature Date
Mail to:
Catholic Business Connection
45280 Kipton Nickle Plate Oberlin, OH 44074 Deadline is May 1st, 2009
To Print:
select “Pages 1 to 1” to print only the application form
Please visit www.catholicbc.com often for updates about the scholarship fund.
Utilize our advertisers for they make this scholarship fund possible.
Names
of applicants will not be shared or sold.
Thank you