Welcome to

St. Dominic High School

John B Greenwell II
Memorial 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: ____________________
Parent’s Daytime Number: Father:____________________ Mother: ____________________
Number of
In what parish is your family registered? _______________________________ Children: _________

School student attends presently: _________________________________ Grade:_________
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Student applicant should answer the following questions:

1. What academic areas have you most enjoyed in the current or more recent school year and why?

2. What occupation interests you as a possible career choice and why?

3. List extra-curricular activities (organizations, sports, clubs, etc.), community, parish or other service activities you have been involved with in the last two years. What has this meant for you?

Extra-curricular:

In the Community:

In the Parish:

Other Activities:

4. Explain briefly why you would like to be considered for this scholarship?

THIS FORM SHOULD BE COMPLETED AND RETURNED BY TUESDAY, MARCH 25, 2008 TO:

John B. Greenwell II Memorial Scholarship
St. Dominic High School
31 St. Dominic Drive
O’Fallon, MO 63366