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, 2027.

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
2 digit month, 2 digit day, 4 digit yearDate
Address

Street Address

Street Address Line 2

CityState/Providence

Zip CodeCountry
Home Phone Number
Please enter a valid phone numberFormat: (000) 000-0000.
Email
example@example.com
Group
Assembly/Wreath

List Slovak Catholic Sokol Life Insurance / Annuity Certificates

Rows	Certificate #	Face Amount	Plan	Issue Date
1
2

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

Rows	Certificate #	Face Amount	Plan	Issue Date
1
2

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

Rows	Certificate #	Face Amount	Plan	Issue Date
1
2

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

Rows	Certificate #	Face Amount	Plan	Issue Date
1
2

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 2027-2028 school year.

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

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

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Should be Empty:

Slovak Catholic Sokol