Tennessee



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|[pic] |Tennessee Department of Children’s Services |

| |Application for Post Secondary Funding |

| |Due 45 Days Prior to Start of School |

|Term/Semester |      |Year |      |

|Applicant Information |

|Name: |      |SS#: |      |

|DOB: |      |

|City: |      |

|Post-Secondary School |

|School Name: |      |

|Financial Aid Person |      |

|Office Telephone # |(     )       -       |Office Fax # |(     )       -       |

|Financial Aid Information |

|Estimated Cost of Attendance |Grants and Scholarships |

|Tuition and Fees |$       |Pell Grant |$       |

|On Campus Housing |$       |SEOG |$       |

|Meal Plan |$       |TSAC |$       |

|Books and Supplies |$       |Other Grants and Scholarships (Please Name) |

|Debt Requests |$       |

|Other |      |$       |      |$       |

|      |$       |      |$       |

|Total Costs |$       |Total Aid |$       |

|Scholarship Request | ETV Covid-19 ETV Bright Futures Scholarship |$       |

|Hours Taking | Full Time (12 or more credit hours per term) |

| |Part Time (Less than 12 credit hours per term) |

Read the following carefully before applying your signature to this application:

Applications for ETV’s and Bright Futures Scholarships are accepted at the beginning of each academic year, and for subsequent semesters or terms of enrollment. Applications for technical programs, others that may have variable enrollment periods, or for students starting an academic program at the second semester or during a summer semester must be reviewed on a case-by-case basis.

Applications should be submitted as follows:

a) Initial Application deadline is no later than July 15th of the calendar year the youth plans to attend school.

b) Application deadline for spring semester is December 15th.

c) Application Deadline for summer school is May 15th.

d) At least forty-five (45) calendar days before the applicable term begins for vocational or technical programs that have variable start dates.

e) Under special circumstances, applications may be accepted at a later date. The circumstances related to late application must be explained here:

I am submitting this application after the deadline for the following reason(s):

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

IMPORTANT- READ THE FOLLOWING!

Administration of funding to the education programs in a timely manner, or at all, cannot be assured if applications are submitted late.

Improper withdrawal from educational programs by youth and young adults, which result in costs incurred with no concurrent educational progress achieved, may result in rescinding of the awarded scholarship.

If applying for the Bright Futures Scholarship: By signing this application, I acknowledge that I do not have countable assets of $10,000.00 or more.

|Young Adult’s Signature | |Date |      |

| | |Date |      |

|Guardian’s Signature | | | |

|(if youth is under 18) | | | |

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