Application for Second-Year Program (r1712-0)

Second Year Application — Part 1 of 3

Applying for* What year did you attend the first year program*

Applicant Information

NAME

First* Middle (optional) Last*

Mailing Address

Street Address / PO Box* City* Prov. / State* Postal / Zip Code* Country*

Contact Info

Primary Phone* Type Other Phone (optional) Type Email*

Additional Information

Gender* Male Female Date of Birth (MM/DD/YYYY)*

Second Year Application — Part 2 of 3

It is advised that you type out your responses to the SHORT and LONG ANSWER questions in a separate word processor program to check for spelling mistakes and so that you have a backup in case there is an error in your submission (eg. you could loose everything that you typed in if the form doesn't send properly...). Please save a copy of your responses until you have received confirmation of the receipt of your application from our Applications Team.

Long Response Questions

Please answer each of the questions in detail; the recommendated lenth for each answer is 4-6 sentences.

1) What are the most important things that you have learned during your time at St. Therese School of Faith and Mission?*

2) How have these things affected your faith and life?*

3) Why do you want to pursue a second year of faith formation studies at St. Therese School of Faith and Mission?*

4) What do you anticipate will be the greatest challenges to you personally in a second year at St. Therese?*

5) What do you anticipate will be the greatest benefits and blessings to you personally in a second year at St. Therese?*

6) If you have been away from St. Therese since completing your first year, in what kind of activities and work have you been involved?

Second Year Application — Part 3 of 3

It is advised that you type out your responses to the SHORT and LONG ANSWER questions in a separate word processor program to check for spelling mistakes and so that you have a backup in case there is an error in your submission (eg. you could loose everything that you typed in if the form doesn't send properly...). Please save a copy of your responses until you have received confirmation of the receipt of your application from our Applications Team.

Short Response Questions

Please respond to the following questions.

1) Are you currently in good health? (physical, psychological, emotional)?* Yes No -or- I'd like to comment

2) Do you have any allergies or food sensitivities?* No Yes

3) Are you taking any prescription medications?* No Yes

4) Program Fees

Tuition, and Room & Board $10,900 (applications received by Jan. 15, 2017).
$11,900 (applications received on or after Jan. 16, 2018).
Program Fees do not include Course Books

How do you intend to pay for the Program Fees at St. Therese School of Faith and Mission? Please be as specific as possible.*

Additional Information or Questions

1) Please mention anything else that you would like to say regarding your application for the Second Year Program at St. Therese Institute.

2) Do you have any additional question you have about the Second Year program?

Second Year Application — Ready to Submit!

Once your application has been reviewed, you will be contacted to arrange an Admissions Interview to discuss your application and any questions you may have about the Second Year - Faith Formation Program. Your application will be accepted pending the Admissions Interview; a $200 deposit (which will be applied towards your Program Fee) will be due upon notification that your application has been accepted. Upon arrival at STS, your full tuition is due. Payment options will be presented during your Admissions Interview.

I hereby submit my application...

I have completed this application form truthfully, and have verified that my contact information is correct.*

I hereby apply to become a student at St. Therese School of Faith and Mission.*

Verification