Personal
Information:
Name ___________________ Age ________ Date Applied ____________ (mm/dd/yyyy)
Permanent Address: (if under 18 years of age, please use parent/guardian address)
Church Attended _______________________ months/years attended ________________
Frequency of attendance (daily, weekly, holiday, etc) _____________________________
Name of most recent Priest _________________________
Sacraments Achieved: Baptism ___ Eucharist ___ Confirmation ___ Reconciliation
___ Other ____________
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Education Information:
High School Name and address: ___________________________________________________
_______________________________________________________________________________
Year expected to graduate ________
Accepted College
of choice ______________________________________
Address _________________________________________________________________________
Name of Program
__________________________________ Program years: 2 year ____ 4 year ____
Commute _________ Reside on campus ________
Community Activities:
List all organizations actively involved: Specify if leadership role
was involved. (please include church, school and community groups)
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2.
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6.
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9.
10.
List approximate
hours of community service for the last two years. List primary activities
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6.
Essay:
On a separate sheet of paper, (Include name and contact information)
type a minimum 500 word essay.
Please include:
a) Introduce yourself,
(give specific characteristics, strengths and weaknesses)
b) Future goals or dreams (if given the chance, what would you like to do or
be)
c) Give an example of what a Catholic should act like: give three life situations
and how a catholic should respond and act to these events (example: a friend
wanting an abortion, helping those in need, you have been hurt by another)
d) What strengths do you have or wish to improve that will be an asset in the
Christian community?
Note –
all information above must be included. Hand written essays not acceptable.
Essay should be double spaced using Times New Roman with 12 pt. font. Each section
should be a separate paragraph. Please follow directions carefully!!!
There are 3 ways to return the application:
1. Drop the completed application in the weekly offertory basket during mass.
2. Mail it to:
Steve Boyce
95 Endless View Lane
Tioga, PA 16946
3. Email the application and all additional writings to boyce@frontiernet.net
If you mail the application it must be received by July 30th. We are selecting the winner(s) during our August 1st meeting and mail is not delivered on Sundays.
Good Luck!