SAN ANTONIO EDUCATION PARTNERSHIP ELIGIBILITY FORM

SAN ANTONIO EDUCATION PARTNERSHIP
ELIGIBILITY FORM
2009-2010

Check one:	q	First-time Applicant	q	Northwest Vista College
	q	Renewal Applicant	q	Palo Alto College
	q	Transfer Applicant	q	St. Philip’s College
	q	Fall qSpring	q	San Antonio College

________________________________________________ ___________________________
Student Name: Last First Middle Social Security Number

____________________________________ ______________________ __________
Graduating High School Graduation Date GPA

Criteria for eligibility:

Full-time enrollment (12 credit hours).

Maintain 2.0 GPA.

Graduate from an eligible school.

2009-2010 Free Application for Federal Student Aid on file.

Benefits:

Award is $175 per semester (limited to four semesters, excludes summer sessions).
Fifth semester paid only if completing associate degree.

1. List previous colleges or universities attended prior to Fall 2009.

2. How many semesters have you received the "San Antonio Education Partnership" scholarship?
(Include SAEP awards received at other colleges or universities)._______________________

3. Is the current semester your fifth semester? q Yes q No

4. Will you enroll full-time (12 hours or more) for the current semester? q Yes q No

5. Expected associate degree graduation date: _____________________

PLEASE READ CAREFULLY AND SIGN BELOW

I certify that all of the information provided on this form is true and complete to the best of my knowledge. I understand that false and incomplete information may lead to delay or cancellation of my San Antonio Education Partnership.
@ SIGNATURE: _______________________________ DATE: ____________

RETURN TO: Ms. Barbara Grewe, Associates Director, Student Financial Services, ACC,
7990 Pat Booker Rd., Live Oak, Texas 78233 ,

Do not fill in this area. For internal use only.

Eligible high school: ______________________________ Graduation date: ______________________

Awarded Hours Awarded Hours
Fall: _______ q Yes q No Enrolled: _________ Spring: _______ q Yes q No Enrolled: ________

Rap Code: __________ Fifth semester: ______________

Comments: ____________________________________________________________________________

Comments and feedback: rklebahn@accdvm.accd.edu
This web page was created by Rodolfo Klebahn, Programmer

Last modification: 03-27-2007

The colleges of the Alamo Community College District are equal opportunity colleges. Students are admitted without regard to race, nationality, color, creed, religion, sex or disability. The colleges also comply with Title IX of the Education Amendments of 1972.