Name of Student
Address
City
State
Zip
Phone
Parent/Guardian
School Attending
Catholic Parish of Which Student is a member
Has the Student registered at West Catholic?	Yes          No

            Please list All academic honors the student has received

            Please list all of the students activities, Clubs, Sports, Etc. (Please use other side if needed):

            Please list any other facts you would like the committee to consider (Please use other side if needed):

Upload copies of Financial Aid and Report Card.

Information of Person Nominating Candidate

   Name                                                                        Phone Number                         email address