PERSONAL DATA

Name_________________________________________ Date ____________________

Address_______________________________________ E-mail___________________

_______________________________________ Date of Birth _____________

Telephone Number ______________________________ Sex: M____F____

 

 

 

Have you applied to any vocational, technical, or 4 yr. institution Yes_______No________

Semester for which gift will be used: (Check one) ___Fall 20__ ____Spring 20__

Classification at that time: _____Freshman _____Sophomore

Degree Working Toward:______________________________________________________________

Extracurricular Activities Engaged in During High School: ___________________________________________________________________________________

Community Involvement During High School: ___________________________________________________________________________________

Name/Address of church you regularly attend:______________________________________________

______________________________________________

PARENTS’ DATA

Father’s Name ________________________________ Mother’s Name____________________

Address______________________________________ Address _________________________

_____________________________________ _________________________

Telephone ____________________________________ Telephone_________________________

Occupation ___________________________________ Occupation ________________________

Email Address_________________________________ Email Address______________________

 

 

 

 

 

 

ELIGIBILITY REQUIREMENTS

Following High School Graduation:
  1. You must attend an approved college either in the upcoming Fall or Spring Semester.
  2. You must be a Full Time Student and enrolled for a minimum of 12 credit hours.
  3. Deadline to Apply: Application to be postmarked by May 1st
  4. Distribution of Award: August 1st for Fall Term

December 15th for Spring Term

 

REQUIRED DOCUMENTATION

 
  1. Student’s letter of Acceptance from College -or-
  2. Paid Tuition Receipt from College -or-
  3. Class Schedule from College

CRITERIA TO APPLY
  1. You must have fulfilled all SAFE requirements
  2. Personal written recommendation from someone you’ve known no less than two years

    3. and unrelated to you. Your reference must include their name, address, and telephone number for verification purposes. Your reference should explain why you would qualify for a college gift from SAFE in HERALD5. Your recommendation must be placed in a sealed envelope and submitted along with your application.

  3. Submit a signed application. Mail to: SAFE

PO Box 1743

Irmo, SC 29063

Please sign your full name if you agree to the following statements and will abide by the criteria, eligibility requirements, and required documentation set forth by the SAFE Board.

Monies awarded for SAFE College Gifts are awarded as funds are available which will be determined by the SAFE Board. These monies are strictly to be used for tuition and textbook expenses.

 

If for any reason I do not attend the designated institution, I agree to refund the full College Gift

amount awarded by SAFE within one month of receipt of said gift.

 

 

 

_____________________________________ _______________________

Student’s Name Date

 

______________________________________

______________________________________ _______________________

Parent’s Signatures Date