Slovak Catholic Sokol Collegiate Scholarship Application

Slovak Catholic Sokol

Collegiate Scholarship Application
Please select Scholarships you are applying for:*

Slovak Catholic Sokol Scholarship Grants ($1,000)Krista L. Glugosh Memorial Scholarship ($1,000)The Doctors' Lesko Medical Memorial Scholarship ($1,000)Theodore and Mary Jane Rich Scholarship Grants ($2,000)Emil Slavik Scholarship Grants ($2,000)The John J. Yanosick Memorial Scholarship ($1,000)The Yencha Scholarship Grant ($1,000)Slovak Catholic Sokol Memorial Scholarship ($1,000)
Student Information
Student Name*

First NameLast Name
University/College attending the year 2025/2026
Class of
Group
Assembly/Wreath
Date of Birth*

MonthDayYear
Date
Email*
example@example.com
Phone Number*
Please enter a valid phone number
Address*

Street Address

Street Address Line 2

CityState/Providence

Zip CodeCountry

List Slovak Catholic Sokol Life Insurance / Annuity Certificates

	Certificate #	Face Amount	Plan	Issue Date
1
2

Upload a 2x3 picture of an applicant with a white background*

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Please attached essay of no more than 500 words on the topic "How has being a member of the Slovak Catholic Sokol influenced my life?" *

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For the Slovak Catholic Sokol Memorial Scholarship Only - Please attached an essay of no more that 500 words on the topic - "Describing how and why one volunteer experience made the biggest personal impact on my life."

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List Father's Slovak Catholic Sokol Life Insurance / Annuity Certificates

	Certificate #	Face Amount	Plan	Issue Date
1
2

List Mother's Slovak Catholic Sokol Life Insurance / Annuity Certificates

	Certificate #	Face Amount	Plan	Issue Date
1
2

List Legal Guardian's Slovak Catholic Sokol Life Insurance / Annuity Certificates

	Certificate #	Face Amount	Plan	Issue Date
1
2

List Family Income

	Income
Combined Parental Gross Annual Income
Student's Gross Annual Income

List Student College Expenses

Slovak Catholic Sokol Activities
Please List the Slovak Catholic Sokol Activities you participated in, the level and the year you participated.
Did you hold or assist with any Sokol office position per the Slovak Catholic ByLaws?

YesNo
If Yes, List the office held and the year(s) the position was held

Slovak Catholic Sokol