DOMSE 2025 Scholarship Application Applicant InfoStep 1 of 8First Name *Middle Name (Optional) Last Name *Gender *MaleFemaleDate of birth *Home Address *Phone Number *Email Address *Please upload a head shot (profile picture) * Drop your files here or click here to upload You can upload up to 1 files. Father's Full Name (Guardian 1) *Father's Occupation (Guardian 1) *Mother's Full Name (Guardian 2) *Mother's Occupation (Guardian 2) *What is the name of the college you plan to attend *What is, or will be, your declared major? *What date does the Fall semester start on? *Which DOMSE Parish do you belong to? *All Saints Church (Raleigh, NC)Archangel Gabriel Church (Lafayette, LA)Christ the Good Shepherd (Concord, NC)Christ the Savior Church (Anderson, SC)Holy Cross Church (Ormond Beach, FL)Holy Trinity Church (Little Rock, AR)Ss Peter & Paul Church (Boone, NC)St. Andrew the Apostle Church (Pensacola, FL)St. Anthony the Great Church (Melbourne, FL)St. Anna (Columbia, TN)St. Barbara (Orlando, FL)St. Barnabas (Lexington, SC)St. Basil (Metairie, LA)St. Basil Church (Silver Springs, FL)St. Catherine Church (Aiken, SC)St. Elias Church (Atlanta, GA)St. Elias the Tishbite Mission (Land O'Lakes, FL)St. Elizabeth Church (Murfreesboro, TN)St. George Church (Jacksonville, FL)St. George Church (Orlando, FL)St. George Church (Vicksburg, MS)St. George Cathedral (Coral Gables, FL)St. Ignatius Church (Franklin, TN)St. Ignatius of Antioch Mission (Boca Raton, FL)St. James Mission (Gainesville, GA)St. John Church (Memphis, TN)St. Mary Church (West Palm Beach, FL)St. Michael Church (Dothan, AL)St. Nicholas Church (Springdale, AR)St. Nicholas Church (St. Petersburg, FL)St. Nicholas Church (Myrtle Beach, SC)St. Nicholas Mission (Jackson, TN)St. Paul Church (Naples, FL)St. Paul Mission (Tupelo, MS)St. Peter the Apostle (Bonita Springs, FL)St. Peter Church (Madison, MS)St. Philip Church (Davie, FL)St. Raphael of Brooklyn Mission (Fuquay Varina, NC)St. Stephen Church (Hiram GA)Thinking about the last 4 years, have you participated in any of the following activities at your parish: * Yes - 1 YearYes - 2 YearsYes - 3 YearsYes - 4 YearsNoN/A (this is not available at my parish) Teen SOYO MemberTeen SOYO Member Yes - 1 YearTeen SOYO Member Yes - 2 YearsTeen SOYO Member Yes - 3 YearsTeen SOYO Member Yes - 4 YearsTeen SOYO Member NoTeen SOYO Member N/A (this is not available at my parish)Teen SOYO OfficerTeen SOYO Officer Yes - 1 YearTeen SOYO Officer Yes - 2 YearsTeen SOYO Officer Yes - 3 YearsTeen SOYO Officer Yes - 4 YearsTeen SOYO Officer NoTeen SOYO Officer N/A (this is not available at my parish)Choir MemberChoir Member Yes - 1 YearChoir Member Yes - 2 YearsChoir Member Yes - 3 YearsChoir Member Yes - 4 YearsChoir Member NoChoir Member N/A (this is not available at my parish)Overnight VigilsOvernight Vigils Yes - 1 YearOvernight Vigils Yes - 2 YearsOvernight Vigils Yes - 3 YearsOvernight Vigils Yes - 4 YearsOvernight Vigils NoOvernight Vigils N/A (this is not available at my parish)Teen SOYO EventsTeen SOYO Events Yes - 1 YearTeen SOYO Events Yes - 2 YearsTeen SOYO Events Yes - 3 YearsTeen SOYO Events Yes - 4 YearsTeen SOYO Events NoTeen SOYO Events N/A (this is not available at my parish)Sunday SchoolSunday School Yes - 1 YearSunday School Yes - 2 YearsSunday School Yes - 3 YearsSunday School Yes - 4 YearsSunday School NoSunday School N/A (this is not available at my parish)Bible StudyBible Study Yes - 1 YearBible Study Yes - 2 YearsBible Study Yes - 3 YearsBible Study Yes - 4 YearsBible Study NoBible Study N/A (this is not available at my parish)Epistle ReaderEpistle Reader Yes - 1 YearEpistle Reader Yes - 2 YearsEpistle Reader Yes - 3 YearsEpistle Reader Yes - 4 YearsEpistle Reader NoEpistle Reader N/A (this is not available at my parish)Altar ServerAltar Server Yes - 1 YearAltar Server Yes - 2 YearsAltar Server Yes - 3 YearsAltar Server Yes - 4 YearsAltar Server NoAltar Server N/A (this is not available at my parish) If there are any other parish events/activities you want us to know about that you participated in, please list them here: Please identify one person in your parish who we may use as a reference (non-family member and not your parish priest): *Thinking about the last 4 years, have you participated in any of the following activities at the diocese level: * Yes - 1 YearYes - 2 YearsYes - 3 YearsYes - 4 YearsNo Attended Winter RetreatAttended Winter Retreat Yes - 1 YearAttended Winter Retreat Yes - 2 YearsAttended Winter Retreat Yes - 3 YearsAttended Winter Retreat Yes - 4 YearsAttended Winter Retreat NoParticipated in Lenten RetreatsParticipated in Lenten Retreats Yes - 1 YearParticipated in Lenten Retreats Yes - 2 YearsParticipated in Lenten Retreats Yes - 3 YearsParticipated in Lenten Retreats Yes - 4 YearsParticipated in Lenten Retreats NoAttended Parish Life Conference (PLC)Attended Parish Life Conference (PLC) Yes - 1 YearAttended Parish Life Conference (PLC) Yes - 2 YearsAttended Parish Life Conference (PLC) Yes - 3 YearsAttended Parish Life Conference (PLC) Yes - 4 YearsAttended Parish Life Conference (PLC) NoParticipated in Oratorical at PLCParticipated in Oratorical at PLC Yes - 1 YearParticipated in Oratorical at PLC Yes - 2 YearsParticipated in Oratorical at PLC Yes - 3 YearsParticipated in Oratorical at PLC Yes - 4 YearsParticipated in Oratorical at PLC NoParticipated in Creative Arts at PLCParticipated in Creative Arts at PLC Yes - 1 YearParticipated in Creative Arts at PLC Yes - 2 YearsParticipated in Creative Arts at PLC Yes - 3 YearsParticipated in Creative Arts at PLC Yes - 4 YearsParticipated in Creative Arts at PLC NoParticipated on a Bible Bowl team at PLCParticipated on a Bible Bowl team at PLC Yes - 1 YearParticipated on a Bible Bowl team at PLC Yes - 2 YearsParticipated on a Bible Bowl team at PLC Yes - 3 YearsParticipated on a Bible Bowl team at PLC Yes - 4 YearsParticipated on a Bible Bowl team at PLC NoAttended Fall RetreatAttended Fall Retreat Yes - 1 YearAttended Fall Retreat Yes - 2 YearsAttended Fall Retreat Yes - 3 YearsAttended Fall Retreat Yes - 4 YearsAttended Fall Retreat No If there are any other DOMSE level or Archdiocese level events/activities you want us to know about that you participated in, please list them here: Thinking about the last 4 years, during high school, have you participated in any of the following activities at your school: * Yes - 1 YearYes - 2 YearsYes - 3 YearsYes - 4 YearsNoN/A (this is not available at my school) Student CouncilStudent Council Yes - 1 YearStudent Council Yes - 2 YearsStudent Council Yes - 3 YearsStudent Council Yes - 4 YearsStudent Council NoStudent Council N/A (this is not available at my school)Sport (as a player)Sport (as a player) Yes - 1 YearSport (as a player) Yes - 2 YearsSport (as a player) Yes - 3 YearsSport (as a player) Yes - 4 YearsSport (as a player) NoSport (as a player) N/A (this is not available at my school)Sport (as a leader/captain)Sport (as a leader/captain) Yes - 1 YearSport (as a leader/captain) Yes - 2 YearsSport (as a leader/captain) Yes - 3 YearsSport (as a leader/captain) Yes - 4 YearsSport (as a leader/captain) NoSport (as a leader/captain) N/A (this is not available at my school)Honors SocietyHonors Society Yes - 1 YearHonors Society Yes - 2 YearsHonors Society Yes - 3 YearsHonors Society Yes - 4 YearsHonors Society NoHonors Society N/A (this is not available at my school) If there are any other school events/activities you want us to know about that you participated in, please list them here: Did you have any part time jobs during high school? *Please identify one person in your school who we may use as a reference (non-family member): *The Diocese of Miami and the Southeast supports youth to live the Orthodox Faith in Christ. This encourages full participation in the life of the Church through Worship, Witness, Service, and Fellowship. Select a verse from the Holy Scriptures that is meaningful to you. Share an example of how you applied this verse in your life. Then, describe two or more Christian virtues gained through serving in your home parish events and/or Diocese and Archdiocese programs. Conclude with how you can exemplify these virtues and instill them in others through your own leadership. YOU MUST DOWNLOAD AND PRINT THE ESSAY FORM, FILL IT OUT BY HAND AND SUBMIT YOUR COMPLETED ESSAY EITHER BY: EMAIL TO: dmcdomse@gmail.com OR MAIL IT TO: DOMSE Scholarships 404 Sandringham Court Winter Springs, FL 32708 DOMSE SCHOLARSHIP ESSAY FORM: Right click on this to open it in a new window or tab so you can continue with your application! PLEASE CONTINUE TO THE NEXT PAGE TO COMPLETE YOUR SCHOLARSHIP APPLICATIONPlease type your full name and sign. By doing so, you attest that all the information entered in this application is accurate and true. Applicant Signature Parent/Guardian Signature MessagePreviousNextSubmit
