Date:

-- mm/dd/yy

Applicant's Name::

Name
Street Address
Address (cont.)
City
State
Zip/Postal Code
Home Phone
E-mail

Parent’s Names:

Enter Names

Knights of Columbus Cranford Council 6226 member’s name:

Member's Name

Relationship to Member:

Enter Here

Involvement in Knights of Columbus Events:

Registration with Saint Michael’s Parish of Cranford

Are you or are one of your parents a registered member of St. Michael's Parish in Cranford?

Yes No

If so, please name who is registered and your relationship to the person (self/ mother/ father/other):

self
mother
father
other

SECTION 2 – ACADEMIC INFORMATION

Please mail an official high school transcript to:

Brian Egenton
379 Lincoln Ave. East
Cranford, NJ 07016

List Honor courses taken:

List Honors Courses here

Please list colleges to which you have been accepted:

List colleges here

Please enter your Verbal SAT score:

Please enter your Mathematics SAT score:

Please enter your Total SAT score:

SECTION 3 – CHURCH / COMMUNITY / EXTRA CURRICULAR ACTIVITIES 

Please list your Church Service, Community Service and Extra-curricular activities in the designated areas.

CHURCH SERVICE

Please list Church Service(s) in which you are involved (List Church Service, Organization, Contact Name and Phone Number, and a brief description of this Service):

List Church Service here.

List additional Church Service below:

List additional Church Service below:

COMMUNITY SERVICE

Please list Community Service(s) in which you are involved (List Community Service, Organization, Contact Name and Phone Number, and a brief description of this Service):

List Community Service here.

List additional Community Service below:

List additional Community Service below:

EXTRA-CURRICULAR ACTIVITIES
(In which you took part during High School)

Please list Extra-curricular Activities in which you are involved (List Extra-curricular Activity, Organization, Contact Name and Phone Number, and a brief description of this Service):

List Extra-curricular Activity here.

List additional Extra-curricular Activity below:

List additional Extra-curricular Activity below: