OnlineApp

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

USE THIS ONLINE APPLICATION FOR FINANCIAL AID

or download a hard copy from above

To be complete, this application must include (1) a current awards letter (if reapplying and that is not available, use last year's) from your college and, (2) 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: Friday, March 31st (for early consideration - INCOMING FRESHMEN ONLY); May 1st for all others.

NOTE: If you press RETURN or ENTER before completing the appllication you will send a partially completed form. Use your browser back-arrow to return to the form to complete entering information. Click on the SUBMIT button at the bottom of the form when finished.

THE APPLICATION FORM IS BEST VIEWED WITH INTERNET EXPLORER ON A PC OR WITH SAFARI ON A MAC.

Applicant Name:

Applicant Social Security Number:

Applicant Street:

Applicant Town:

Applicant State:

Applicant Zip:

Applicant Phone (Area Code first):

Applicant Email:

Parent Email:

I am a resident of the town of:

I plan to attend a:

In Sept. 2009, I will be a:

I live at home:

Number of children living at home:

Number of family members in college next year:

I plan to major in (some scholarships are awarded for specific programs):

Financial Aid should be sent to the address below:

Name of the school I will attend:

Institution Street:

Institution Town:

Institution State:

Institution Zip:

Insstitution Phone (Area Code First):

Yes

	Employment history for the last three years:

2008

Employed by:

Earnings:

2007

Employed by:

Earnings:

2006

Employed by:

Earnings:

	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/ APPLICANT

Debt Type AND Amount (1):

Debt Type AND Amount (2):

Debt Type AND Amount (3):

Debt Type AND Amount (4):

Debt Type AND Amount (5):

PARENT

Debt Type AND Amount (1):

Debt Type AND Amount (2):

Debt Type AND Amount (3):

Debt Type AND Amount (4):

Debt Type AND Amount (5):

	Do you anticipate any additional, unusual expenses? (travel, medical, etc.) If YES, please 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.
	You may use my name	Please do not use my name

	In lieu of a signature on this electronic form, your PIN number may be substituted in the box to the right.

	DATE on which you are submitting this application:

I wish to be acknowledged at BRHS Awards Night and have my name included in the names of award recipients in the Boothbay Register.
	Yes	No