By my signature, I give consent for the Commission on
Higher Education to transfer my Palmetto Fellows Scholarship from one eligible
institution to another eligible institution as long as I maintain
eligibility. I also give consent to the institution which I am transferring
from to release any information to the Commission on Higher Education (which
may include but not limited to my social security number, grade point average,
earned credit hours, and/or other pertinent information) in order to verify
continued eligibility. I also give the Commission on Higher Education
consent to release this information to the institution where I wish to
transfer. I further release the Commission on Higher Education from any and
all claims that may result from this inquiry.
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I hereby certify that the information on this Application is true and
correct and agree to notify Commission on Higher Education, immediately if
at any time any of such information should change. I acknowledge the
checking of this box will serve as my signature and understanding of the
contents therein.Signature
Name:
Date:
Street :
City:
State:Zip Code:
SS #:
E-Mail Address:Phone:
Institution Current Enrolled:
Transferring Institution:
Year Graduated from High School:
Please indicate the term in which you are
requesting transfer of your scholarship and select the year:
FallSpring
Additional Comments:
Students requesting a mid-year transfer will need to make arrangements to cover tuition and fees as there is no guarantee that the transfer request will be completed by an institution’s fee payment deadline.
