SCICU SCHOLAR PROGRAM

COLLEGE		YEAR
Allen University		2023-2024
TYPE		AMOUNT
SCICU SCHOLAR		$1,000
DONOR NAME
Bailey Foundation
DONOR CONTACT		CONTACT TITLE
Mr. Bob Link		Administrator
DONOR ADDRESS	DONOR CITY	DONOR STATE	DONOR ZIP
P.O. Box 1215	Clinton	SC	29325

DONOR CRITERIA
Recipient must be a traditional-age, full-time student who is a South Carolina resident with permanent address located in Laurens County. Scholarship shall not replace institutional funds already awarded.

STUDENT NAME (First and Last Required)

First Name(Required)

Middle

Last(Required)

Suffix

STUDENT SCHOOL ADDRESS(Required)

Street Address City State ZIP Code

STUDENT CLASS LEVEL – Fall 2023 semester(Required)

MAJOR(Required)

STUDENT GPA(Required)

STUDENT EMAIL ADDRESS(Required)

STUDENT PERMANENT / HOME ADDRESS(Required)

Street Address City State ZIP Code

NAME OF PARENTS / GUARDIAN(Required)

When submitting this scholarship form to SCICU, the financial aid director certifies they have informed the above-named student that their acceptance of this scholarship requires granting permission to SCICU, their school, and the scholarship donor to use their name, photo, and related information in press releases and other public relations materials.

FINANCIAL AID DIRECTOR NAME(Required)

FINANCIAL AID EMAIL(Required)

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