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ST. DOMINIC HIGH SCHOOL
PART I TUITION ASSISTANCE APPLICATION
2008-2009 SCHOOL YEAR

General Principles:
1. The Tuition Assistance Program is open to any current or prospective St. Dominic student.
2. Student should be in good standing with the school
3. Financial reimbursement amount will be determined by the St. Dominic Advisory Board and Administration based on the report of the Private School Aid Service (PSAS) (Part II). Notification by May 5,2008.

PLEASE ANSWER ALL QUESTIONS (PLEASE PRINT):

Student Name:_________________________________Year of High School Graduation:__________

Parent or Guardian Name:__________________________________________________________
Home
Home Address/City/Zip:_________________________________________ Phone:_____________

Parish in which you are registered:___________________________________________________

Martial Status: ______ Married _____ Separated _____ Divorced _____ Widow(er)

1. Is the father or guardian regularly employed?_______ Where?________________________
Position or occupation:______________________________________________________

2. Is the mother or guardian regularly employed?_______ Where?_______________________
Position or occupation:______________________________________________________

3. Does the student have an opportunity for part-time or summer work either now or in the future?______ If yes, explain:_______________________________________________

4. How many children under 18, including student above, are living at home?________________

5. How many brothers or sisters, other than student above, will be attending SDHS during the coming or current year?_____________________________________________________

6. What unusual expenses or serious misfortune has your family had within the past year? Please explain:_________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________

Please return the Part I Tuition Assistance
Application by: Tuesday, March 25, 2008 to:

Father's Signature

_________________________________________________

Mother's Signature

_________________________________________________

Sister Mary Bender, President
St. Dominic High School (Mother's Signature)
31 St. Dominic Drive
O'Fallon, MO 63366


Part II of the Application Student Aid Form may be obtained on the SDHS website www.stdominichs.org, click on PSAS form and print.

This is to be mailed with the fee ($20.00) by Tuesday, March 25, 2008 directly to:

Private School Aid Service
P.O. Box 770728
Lakewood, OH 44107-0034