Application for Boothbay Region Student Aid Fund Grant

Application for BRSAF Grant
ALL DOCUMENTS MUST BE SUBMITTED BY THE FOLLOWING DATES TO BE CONSIDERED FOR A GRANT.

JUNE 15 For BRHS Seniors Starting Fall Classes.

JULY 20 For Upperclassmen, Graduate Level and Non-Traditional Applicants.

*Late applications may be considered under some circumstances.

Contact brsaf.org@gmail.com for more information.
Free Maine Community College!

Boothbay Region High school graduates from the classes of 2023, 2024, and 2025 (or recent students who earned the equivalent of a high school diploma, like a GED or HiSET) can attend Maine community colleges tuition-free. The free college program provides 100% of tuition and mandatory fees after the application
of other federal and state grant aid for students at Maine’s seven community colleges. Note that it does not cover books and supplies, housing, transportation, or other additional non‐mandatory fees. A BRSAF grant may be able to help with this unmet need. Information about Maine free community college program and eligibility can be found at https://www.mccs.me.edu/freecollege/.

2023 grads – Enroll no later than during the 2025-26 academic year
2024 grads – Enroll no later than during the 2026-27 academic year
2025 grads – Enroll no later than during the 2027-28 academic year
Will you be attending a Maine Free Community College?

YesNo
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address*
example@example.com
Phone 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 you received a diploma from BRHS*
Year you received a HiSet or GED Diploma from BRHS
School year for which you are applying for a grant (eg 2025-2026)*
Have you received a Grant from the Boothbay Region Student Aid Fund in the past?*

YesNo
What session are you applying for?*

Fall and Spring sessionsFall session onlySpring session onlySummer session onlyCertificate (only one session)
What is the Full name of Institution or program you will be attending?*
Mailing 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:*

1st year2nd year3rd year4th yearGraduate SchoolCertificateProfessionalTrade SchoolVocational License
What is the name of the program, or major that you are enrolled in?*
What is your student ID#?*
Will your classes be online, in person or a combination?*

In person onlyOnline onlyIn person & online
Will you be a part-time or full-time student?*

Part-timeFull-time
How many weeks are in each session?*
Will you be living at home and commuting?*

YesNo
If you will be living at home, how many miles will you commute each week to attend class? If not applicable please enter n/a.*
Will you be living in campus provided housing?*

YesNo
Are you participating in a campus meal plan?*

YesNo
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
If you will be having to purchase tools, supplies, etc. on your own for your course of study, please include that information here.
Required documents

1. FAFSA/Submission Summary Report (ENTIRE REPORT)

2. FERPA - Financial Release Form

3. Award statement and billing statement (must include Tuition/Cost of Attendance, Grants and Scholarships from school).
Upload supporting documents here; FAFSA/Submission Summary Report (ENTIRE REPORT), Financial Release Form, Award statement and billing statement (must include COA and grants/scholarships from school).

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IF YOU HAVE TROUBLE UPLOADING YOUR SUPPORTING DOCUMENTS, YOU MAY EMAIL THEM TO BRSAF.ORG@GMAIL.COM.
Authorization and Publicity Release Form
- By signing below I agree to let my name be used in correspondence 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.
- I hereby grant permission to the Boothbay Region Student Aid Fund use of my name, photograph, the named fund of the grant I received, my major, and the institution I will be attending in connection with publicity efforts. These may include, but are not limited to: Social media posts, Advertising, Press releases, Website content, Promotional materials.
- I will not receive compensation for the use of this material.
- I may withdraw my consent in writing at any time, and future use will be discontinued.
Signature (Required)*

Clear
Time stamp
Should be Empty:

Application for BRSAF Grant

Required documents