midlandstech.edu
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PO Box 2408
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Columbia, SC 29202
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803.738.7792
student financial services
20192020 SOUTH CAROLINA NEEDBASED
GRANT AFFIDAVIT AND CERTIFICATION
State law requires that a student receiving the South Carolina Need-Based Grant be a U.S. citizen or a permanent
resident who meets the definition of an eligible non-citizen under State Residency statute. An affidavit signed
by the student is required by the institution for student eligibility. Any false information provided by the student
or any attempt to obtain or expend any Need-Based Grant for unlawful purposes, or any purpose other than
in payment or reimbursement for the cost of tuition and fees and other educational costs, at the institution
authorized to award the Need-Based Grant, will be cause for immediate cancellation of the Need-Based Grant.
Failure to reveal any material fact, condition, or circumstances affecting eligibility will be subject to applicable
civil or criminal penalties, including loss of the Need-Based Grant.
The Need-Based Grant shall be awarded annually for no more than a total of eight full-time equivalent semesters
of part-time or full-time study. Award decisions are made annually and are not automatically guaranteed or
renewed.
Check all that apply: Initial Award
Current Transfer Student From
South Carolina School’s Name
Indicate where, when, and the amount of South Carolina Need Based Grant you have received. For additional
space write on back.
South Carolina School’s Name
(List Midlands Technical College if
applicable)
Academic Year Amount Fall Amount Spring Amount Summer
$ $ $
$ $ $
$ $ $
$ $ $
REQUIRED CERTIFICATIONS
I hereby certify that I For continued eligibility, students must reapply each
academic year and certify:
Am a legal resident of South Carolina I am maintaining a Cumulative GPA of 2.0 or above
I have completed the Free Application for Federal
Student Aid
I am making Satisfactory Academic Progress
Am of good moral character I do not have an Associate or Bachelor’s Degree
Never been adjudicated delinquent, convicted, or
plead guilty or nolo contendere to any felonies or
any second or subsequent alcohol/drug related
offenses under the laws of this state or any other
state or under the laws of the United States
I earned at least 24 credit hours as a full-time student at
the end of the regular academic year or
Student Financial Services Office
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Midlands Technical College
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PO Box 2408
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Columbia, SC 29202
Do not owe a refund or repayment on a State
Grant, a Federal Pell Grant, or a Federal
Supplemental Educational Opportunity Grant
I earned at least 12 credit hours as a part-time student at
the end of the regular academic year or
Am not in default on any State or Federal Loan I earned 18 credit hours as a part-time student for one
semester and full-time student the other semester at the
end of the regular academic year
Am enrolled part time or full time as a degree-
seeking student in an eligible program of study
Do not have an Associate or Bachelor’s Degree
Will use the South Carolina Need-Based Grant
funds for appropriate educational purposes
Academic year” is defined as the fall, spring and summer semesters. A part-time student would be expected
to earn a minimum of six credit hours for each semester the student is enrolled, for a minimum of twelve credit
hours. A full-time student would be expected to earn a minimum of twelve credit hours for each semester, to earn
a minimum of 24 credit hours.
I decline the South Carolina Need Based Grant
Print Student Name MTC ID
Signature Date
SD-19-5256D-01-19
click to sign
signature
click to edit