Scholarship Interest Form

Enrollment Information
Enrollment Status*

Incoming FreshmanCurrently a student at USC SalkehatchieTransfer student
What best describes your planned enrollment hours?*

Full-time studentPart-time student
Did your parents, grandparents, or siblings attend USC Salkehatchie?*

YesNo

Career and Academic Goals
Intended Major*
Career Goal*
In addition to our general academic scholarships, indicate any additional scholarships you wish to be considered for a

STEM ScholarshipNursing ScholarshipTeacher Education Scholarship

Release and Certification
If awarded a scholarship, I give USC Salkehatchie permission to use my name and photo in press releases and other media types to promote USC Salkehatchie and USC Salkehatchie Scholarships.*

YesNo
I certify that the information provided is true and complete to the best of my knowledge. I authorize appropriate individuals, offices, or committees at USC Salkehatchie access to the information contained herein and to my admission file for the sole purpose of determining my eligibility for scholarships at the University of South Carolina Salkehatchie. Further, I understand that this application cannot be considered unless I submit an admissions application and transcript(s) to the Admissions Office.*

I certify the information included is true.
Should be Empty:

Demographic Information