Yes, Father, I would like to donate a scholarship so that a needy child may receive a Catholic Education.

​

Name: __________________________________________________

​

Address: ________________________________________________

​

                ________________________________________________

​

Phone: __________________________________________________

​

Please check one (1):

​

        I wish to donate a full scholarship of $4,700.

​

        I intend to donate $470 per month for 10 months.

​

        I wish to donate a partial scholarship in the amount

        of __________________ .

​

This scholarship has been donated in the memory of:

​

__________________________________________________________

​