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Welcome to St. Dominic High School
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This summer, eight students needing financial assistance will be hired for work. Each student will be able to work off part of his/her tuition bill by working approximately 4 days per week (Monday-Thursday), 8 hours per day, from 7:30 a.m. to 3:30 p.m. (1/2 hour for lunch and a break). The pay (which is applied directly to the tuition) is $ 6.50 per hour with adjustments for experience. The tentative summer work schedule is from Monday, June 2, 2008 through Thursday, July 31, 2008. In order to determine the students in need of this opportunity, we are asking that each student who requests summer work must fill out this form and the PSAS application indicating financial need. This form may be obtained from school office or go to SDHS website www.stdominichs.org, click PSAS form and print. Guidelines for admittance to the summer work program
include: Students will be assigned various indoor and outdoor work assignments. Students are expected to work the entire time without radios or tape players. Any student found not working will be given a warning. The second warning will mean automatic dismissal from the Summer Work Program. Each student must obey any staff member of SDHS; teachers, maintenance personnel, secretaries and administration. Mr. Steve Wing, Supervisor of Maintenance, must be notified of any tardiness, absence, or early departure in advance. For any of these conditions to occur, parental explanation is necessary.
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++ Name of student:______________________________________ Phone Number:__________________ Address:___________________________________ City/State/Zip:____________________________ School you attend presently: ______________________________ Parish:______________________
Principal’s Name: ________________________________ School Phone Number: _________________
1. What is the family income situation? Please state the job of your mother and/or father, estimated income for the family and any money-making jobs you will have during the school year and/or summer: ______________________________________________________________________________ ______________________________________________________________________________
2. Describe any family or financial situations that should be know by the school. ______________________________________________________________________________ ______________________________________________________________________________
1. What is the family income situation? Please state the job of your mother and/or father, estimated income for the family and any money-making jobs you will have during the school year and/or summer: ___________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________ 2. Describe any family or financial situations that should be known by the school. ___________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________________________
St. Dominic High School 3. Why do you wish to work in the SDHS Summer Work Program? ____________________________________________________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 4. Please list any sports or other activities that would keep you from working anytime this summer _____________________________________________________________________________ 5. Name any type of allergies, physical condition, acute reaction to bee/wasp stings, back problems or any physical problem that we should know? NO______ YES______ (If yes, please explain) ______________________________________________________________________________
6. List any previous job experience that would be helpful at SDHS
Please list the name and telephone number of a relative or friend that could be reached in case of an emergency: Name: ______________________________________________Phone #:__________________ Relationship:_______________________ Please mail or return this completed form
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St. Dominic High School 3. Why do you wish to work in the SDHS Summer Work Program? __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 4. Please list any sports or other activities that would keep you from working anytime this summer _____________________________________________________________________________ 5. Name any type of allergies, physical condition, acute reaction to bee/wasp stings, back problems or any physical problem that we should know? NO______ YES______ (If yes, please explain)
______________________________________________________________________________ 6. List any previous job experience that would be
helpful at SDHS Please list the name and telephone number of a relative or friend that could be reached in case of an emergency: Name: ______________________________________________Phone #:__________________ Relationship:_______________________ Please mail or return this completed form
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