Application for Boothbay Region Student Aid Fund Grant

Application for BRSAF Grant

Please fill the fields below with your information
ALL DOCUMENTS MUST BE SUBMITTED BY THE FOLLOWING DATES TO BE CONSIDERED FOR A GRANT:
- MAY 1 FOR BRHS SENIORS
- JULY 20 FOR UPPERCLASSMEN, GRADUATE LEVEL AND NON-TRADITIONAL APPLICANTS
School year for which you are applying for a grant (eg 2023-24)*
What session are you applying for?*

Fall and spring sessionsFall session onlySpring session onlySummer session onlyCertificate (only one session)
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone Number

Area CodePhone Number
Date of birth*
Parent/Guardian Contact Information (if different)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent's email
example@example.com
Year of graduation from BRHS*
Name of Institution you will be attending*
Address of Financial Aid Office

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number of Financial Aid Office

Area CodePhone Number
Enrolling as a*

1st year2nd year3rd year4th yearGraduate SchoolCertificateProfessionalTradeVocational License
What is the name of the program, or major that you are enrolled in?*
What is your student ID#?*
Will you be a part-time student?

YesNo
How many weeks are in each session?*
If you will be living at home, how many miles will you commute each week to attend class?
If you are related to a member of American Legion Post #36 or Lion's Club, please provide their name and relationship.
Are you a Veteran?

YesNo
I agree to let my name be used in correpondence with the Named Fund donors in the event that I receive a grant supported by a Named Fund.

I understand that all required documents as outlined below must be submitted for my application to be complete.
Signature*

Clear
Upload supporting documents here; FAFSA/SAR (ENTIRE REPORT), Financial Release Form, Award statement and billing statement (must include COA and grants/scholarships from school).

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Application for BRSAF Grant