Application

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	THE APPLICATION MAY BE COMPLETED ONLINE OR DOWNLOADED TO BE COMPLETE LATER


	BOOTHBAY REGION STUDENT AID FUND APPLICATION FOR FINANCIAL AID To be complete, this application must include a current awards letter (if reapplying and that is not available, use last year’s) from your college and your Student Aid Report (SAR) after completing the FAFSA. Return, with documentation, to the Guidance Office at Boothbay Region High School, 236 Townsend Avenue, Boothbay Harbor, ME 04538. All financial information is confidential and reviewed only by the Awards Committee. Incomplete applications will not be considered. 2009 deadlines:March 30 (for early consideration - INCOMING FRESHMEN ONLY); May 1st for all others.

Name:						Soc. Sec. No.
Address:						Phone:
Town:					State:				Zip:
Parent(s) Name(s)
Student email:						Parent email:
I am a resident of (use "X"):	Boothbay:			Boothbay Harbor:		Southport:			Edgecomb:
I plan to attend a (use "X"):	2 - year program:					4 - year program:
I am enrolling (use "X"):	_{_Full-time:}				_{_Part-time:}				If part-time, how many credit hours?
In Sept 2009, I will be a (use "X"):	Freshman		Sophomore		Junior		Senior		Graduate
I live at home (use "X"):	Yes					No
I plan to major in (Some scholarships are awarded for specific programs):
Name of school I will attend:
Financial aid should be sent to:
Address:						Phone:
Town:					State:				Zip:
Number of children at home:
Number of family members in college next year:

	Employment History (last three years)

YEAR	EMPLOYER	EARNINGS
2008
2007
2006

	If you are a college sophomore (or higher), how much debt have your incurred (in the student's name) for payment of tuition expenses?
			$

	List any EDUCATIONAL loans or other EDUCATIONAL debts below:

STUDENT		PARENT
Debt Type	Debt Amount	Debt Type	Debt Amount

	Do you anticipate any additional, unusual expenses? (travel, medical, etc.) If YES, lease elaborate below:

	Do you feel there is any additional information or circumstances the committee should take into consideration when reviewing your application? If YES, please elaborate below:

	The information I have provided on this form is true and complete to the best of my knowledge. I agree to let my name be used in conjunction with Named Scholarships.

	YES
			NO

	Signature:
			DATE:

I DO

____

DO NOT

____

wish to be acknowledged at BRHS Awards Night and have my name included in the names of

award recipients in the Boothbay Register. (Please initial)