HORRY-GEORGETOWN TECHNICAL COLLEGE
ACCESS & EQUITY ACADEMIC SCHOLARSHIP APPLICATION
ACCESS & EQUITY ENDOWED SCHOLARSHIP APPLICATION

ADDRESS _____________________________________________________
                            Number               Street                                    City                            State            Zip

SSN __________________ ETHNIC BACKGROUND __________________

HIGH SCHOOL ___________________GRADUATION DATE ___________

CLASS RANK _______ COLLEGE (if transferring) ____________GPA ______

PARENT'S OR GUARDIAN ________________________________________

PROPOSED COLLEGE MAJOR _____________________________________

HIGH SCHOOL ACTIVITIES(honors received, prizes awarded, offices held, other):

What are your academic goals, and how do you think Horry-Georgetown Technical
College can help you achieve them?

High school and/or college academic transcripts must accompany application.

If you have additional information which you think would possibly assist the
scholarship committee in evaluating your application, please submit along with
application

I hereby apply for the Horry-Georgetown Technical College Access & Equity 
Academic and Endowed Scholarship. The above information is true to the best of my 
knowledge. This information and that contained in my high school and/or college 
transcript are hereby released to Horry-Georgetown Technical College.

DATE___________________ SIGNATURE ____________________________

Please return to:        Director of Financial Aid
                                Horry-Georgetown Technical College
                                P.O. Box 261966
                                Conway, SC 29528