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ASSUMPTION-ST. DOMINIC
ALUMNI SCHOLARSHIP
St. Dominic High School
31 St. Dominic Drive
O'Fallon, MO 63366


Social
Student's Name:_______________________________ Security #: _____________________

Street Address:________________________________ Phone:________________________

City:___________________________ State:_____________ Zipcode:________________

Parent's Name: Father___________________ Mother______________________
Parents Daytime Number: Father___________________ Mother______________________

Applicant is an 8th grade student currently attending what school?___________________________

REQUIREMENTS AND DIRECTIONS:

Please follow directions carefully! Check in the box that you have completed or attached each requirement.

A. Applicant must be a relative of an alumni.

Name of Alumni:_____________________ Class of: ___________ Relationship:_______________

B. Family must be registered in one of St. Dominic's feeder elementary parishes.
 In what parish is your family registered? _____________________________________

C. Student must have a minimum 90% grade average for both 7th grade and the first semester of the 8th grade and must provide a copy of their 7th and 8th grade report cards.
 Report Cards included.

D. Two letters of recommendation from teachers of the applicant or from the principal must be included. The recommendation should include spiritual attitudes, social responsibility, self-motivation, and leadership ability of the applicant.

 I have asked two teachers for letters of recommendations. They will send them directly to the school, marked "Alumni Scholarship", St. Dominic High School, 31 St. Dominic Drive, O'Fallon, MO 63366 and postmarked no later than midnight, Tuesday, March 25, 2008.

E. The student applicant must write an original essay of 200-250 words on the topic listed below.
The essay will be judged on originality, content, and written communication skills. It must be handwritten by the applicant on separate sheets of paper and included with this application. Please do not put your name on the essay or include the name of your school

Essay topic: “Name your favorite hobby or pastime activity. Write an essay explaining the effect this
has on your life.”

 I have enclosed my essay.

THIS FORM SHOULD BE COMPLETED AND RETURNED TOGETHER WITH YOUR ESSAY AND GRADES POSTMARKED BY TUESDAY, MARCH 25, 2008 TO:

Alumni Scholarship
St. Dominic High School
31 St. Dominic Drive
O'Fallon, MO 63366