Slovak Catholic Sokol High School Grant Application

Slovak Catholic Sokol
Abbot Jerome M. Koval, O.S.B. Memorial

High School Grant Application
The Deadline for Receipt of this Application is March 31, 2025.

Return Completed Application to:
Slovak Catholic Sokol, High School Grant
205 Madison St. P.O. Box 899, Passaic, NJ 07055
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState/Providence

Zip CodeCountry
Home Phone Number*
Please enter a valid phone number
Email
example@example.com
Group
Assembly/Wreath

List Slovak Catholic Sokol Life Insurance / Annuity Certificates

	Certificate #	Face Amount	Plan	Issue Date
1
2

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

Sokol Catholic Sokol Information
Are you a previous Slovak Catholic Sokol High School Grant Recipient

(Check if Yes)
If yes, what year
Are you currently participating in Slovak Catholic Sokol Activities?

(Check if Yes)
If Yes, list activities:

School Verification

To be completed by Catholic High School Principal
I Principal's Signature , the Principal of Name of High School Catholic High School, verify that {studentName} is a student at the above school and will be attending Grade Grade in the 2025-2026 school year.

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

Cancelof
Please attached essay of no more than 100 words on the topic ""WHAT DOES THE SLOVAK CATHOLIC SOKOL MEAN TO ME?" *

Cancelof
Should be Empty:

Slovak Catholic Sokol