Catholic JournalismGraduate Grant ApplicationScholarship Fund

 

 

 

Date             

 

Name       

 

Publication                            How long have you associated with publication?  

 

Category of CPA membership  Registered Agent Staff Other

 

Address       

 

City               State             ZIP       

 

Phone                                                           Email       

 

Supervisor       

May we contact your supervisor?

 

College or University      

 

Course and purpose of proposed course of study?       

 

Are you receiving other financial aid?       

 

Annual income           Dependents       

Number of dependents in college, private or parochial school       

 

 

Return this form to:      Sonya Stephens sstephens@catholicpress.org

                                    Association Coordinator

                                    Catholic Press Association

                                    205 West Monroe St, Ste 470

                                    Chicago, IL 60606