Seminarian Scholarship Application

First Name

Last Name

Address

Address Line 2

City

State

Postal Code

Email

Home Phone

Cell Phone

Date of Birth

Place of Birth

Are you a member of Catholic Financial Life?

Yes

No

If yes, of which Chapter, City/State?

Name of Seminary you are attending?

Seminary Address

Seminary Address Line 2

Seminary City

Seminary State

Seminary Postal Code

Select Year of Theological Studies

Please explain if Special is selected.

By what diocese or religious order have you been accepted for priestly ministrty after ordination?

Expected Ordination Date

Have you previously received any educational financial aid from the SJB Educational Foundation?

Yes

No

If yes, what years?

Parent #1 Information

Parent #1 Name

Parent #1 Address

Parent #1 Address Line 2

Parent #1 City

Parent #1 State

Parent #1 Postal Code

Parent #2 Information

Parent #2 Name

Parent #2 Address

Parent #2 Address Line 2

Parent #2 City

Parent #2 State

Parent #2 Postal Code

Number of Family Dependents Including Applicant

IMPORTANT - SCHOLARSHIP CHECK DELIVERY ADDRESS

Please indicate the address where scholarship check should be sent to.