Fillable 2020-2021 MHEC DRUG FREE PLEDGE FORM (Hagerstown Community College)

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2020-2021 MHEC DRUG FREE PLEDGE FORM (Hagerstown Community College)

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20MDRUGF 1/16/2020
MHEC DRUG FREE PLEDGE (To Be Signed by the Student)
As a condition of receiving a student financial assistance, you pledge to remain drug free for the full
term of the award. Unlawful use of drugs and alcohol may endanger your enrollment in a Maryland
college, as well as your Maryland financial aid award.
I accept my Maryland State Award and pledge that I, _____________________________,
(Print Student’s Name)
understand the terms and conditions of my Maryland State awards and will remain drug free for the
full term of the awards.
OR
If you do not agree to the terms and conditions of the award, please decline the award below.
I, _____________________________, do not accept the terms and conditions of my award
(Print Student’s Name)
and decline the Maryland State Aid offered to me.
________________________________________________ _______________
Student’s Signature Date
______________________
Student’s ID Number
Student Financial Aid Office
11400 Robinwood Drive
Hagerstown, MD 21742
finaid@hagerstowncc.edu
FAX: 301-791-9165
2020-2021 MHEC DRUG FREE PLEDGE
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2020-2021 MHEC DRUG FREE PLEDGE FORM (Hagerstown Community College)

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Completed 20 August 2020

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