Instructions

Please use this form to apply for the Christopher D. Corbett Memorial Fund elementary and high school scholarships. Applicants must be students currently enrolled in Catholic school who have been accepted into a Catholic elementary school or high school* for the upcoming academic year. The award is $500 for elementary school recipients and $1,000 for high school recipients. Graduating eighth-grade students may apply for the $1,000 high school scholarship if they will be attending one of the eligible high schools in the fall.

All personal information should be entered using the form fields below. Essays can be composed in Word and uploaded to this form where indicated.

Also required are one letter of recommendation and a copy of your current academic transcript. The letter should provide testimony of your commitment to making a difference and must be written by a member of the school faculty or parish priest/deacon.

Please contact your Guidance office and let them know that you have submitted an application. We will request that they send us transcripts and faculty recommendations. Non-faculty recommendations, as well as any questions, can be emailed to chriscorbett5k@gmail.com.

*Eligible Catholic schools:
Catholic Academy of Waterbury
Holy Cross High School
Mercy High School
Our Lady of Mount Carmel
St. Bridget School
St. John Paul the Great Academy
St. Luke Catholic School
St. Paul Catholic High School
Unified Schools of St. Mary Magdalen & St. John the Evangelist
Xavier High School

Personal Information

Academic Information

If you will be attending a different Catholic school than your current school please indicate below

Family Information

Please list ages and schools currently attended.

Financial Information

Please detail Name / Amount

School Activities

Please list any extracurricular activities and leadership positions at school, such as clubs, sports teams, and student government, in which you have participated during the past year.

Community Service

Please list below the ways you are currently active in your community, or have been active during the past year.

Please Provide:
Organization Name
Service Provided
Dates From/To
Total Hours of Service

Essay

On a separate document write a 300 to 600 word essay answering the following questions:

1. How are your Catholic education and values making a difference in your life?

2. Describe an experience you had helping others and explain what made it rewarding.

*Your Essay can be attached to this form below, or emailed to: chriscorbett5k@gmail.com

Click or drag a file to this area to upload.

Certification

I certify that all information provided on this application and all supporting documents are accurate and complete. I understand that any misleading or false information will result in my application being disqualified. In addition, I give permission to the Scholarship Committee to duplicate my Application Packet for processing and evaluation purposes. I understand that the scholarship is awarded at the discretion of the Scholarship Committee.

Parent or legal guardian if under 18

Media Release Authorization

If selected as a scholarship recipient, I hereby authorize and give full consent for the use of my name and photograph by the Christopher D. Corbett Memorial Fund, Inc. for any and all promotional and publicity purposes. My consent shall include, but not be limited to, the publication of my name and photograph on the website of the Christopher D. Corbett Memorial Fund, Inc., its Facebook page, and any and all other social media. This authorization and consent shall continue until revoked by me in writing.

Parent or legal guardian if under 18