Boulos Family Scholarship-A Scholarship for Maine Veterans who served in the Post-September 11 conflicts in Iraq & Afghanistan
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Scholarship Application
To apply for the Boulos Family Scholarship,
please fill out and submit the form below with a college official.

To be eligible, an applicant must:

• Have served in Iraq or Afghanistan in the post-September 11, 2001 conflicts;

• Be currently serving in the U.S. Military, the National Guard, or Reserves, or have been honorably discharged;

• Have been a Maine resident prior to serving in either conflict;

• Be enrolled or accepted in a credit course or program at a regionally accredited Maine higher education institution; and

• Show proof of military service (DD-214 or other official military documentation).
 

Personal Information:
First Name:  Middle:  Last:  


Date of Birth:  Social Security #: 


Address Information:

Street

City   State Zip     


E-Mail:  Telephone #:


College Attending:

Major (if applicable):


Expected Credential:

Certificate     Associate    Bachelors    Masters    Doctorate    None   



I verify that (Enter student's name)

has served in Iraq or Afghanistan post-September 11, 2001.

With submission of this form to the Maine Community College System (MCCS), the student understands that the MCCS may contact the college to verify enrollment in order to release available funds to the college from his/her scholarship account. The student further understands that the college may contact the MCCS about his/her scholarship account balance.


College Official

Name:   Title: 

Telephone Number: 

E-Mail:  Date: 



 

Request for Non-Disclosure of Directory Information

The Family Education Rights and Privacy Act (FERPA) protects the privacy of your education records by restricting how and to whom the educational institution maintaining the records can disclose them. Under FERPA, the Maine Community College System (MCCS) may release “directory information” about you at any time to include: name, address, date of birth, scholarship award, college attending, major field of study, expected graduation date, credential or degree and other honors and awards received. However, under the law, you have a right to prevent the MCCS from disclosing your directory information. If you do not wish this information disclosed, please check the box below. Please note that if you check the box, no information will be released about you ­ not to family, prospective employers, friends, or in press releases listing you as a Boulos Family Scholarship recipient.

The student does not authorize the MCCS to release the "directory information" about him/her listed above. The student understands that this choice will remain in effect unless and until he/she makes a written request to change it.

 

 

                                   

 

  
 
The Boulos Family Scholarship is administered by the

323 State Street
Augusta, ME 04330-7131
(207) 629-4000
info@boulosscholarship.me.edu
  


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