Syracuse
University
Office
of
Financial
Aid
& Scholarship Programs
Liberty Partnerships Program Scholarship
Statement of Participation
This scholarship is renewable for four years, provided the student maintains a 2.75 cumulative grade
point average.
Deadline: February 1 prior to the term in which the student begins enrollment
To be completed by the student:
Student’s Name
Social Security No. SUID No.
Telephone No.
High School
Student Signature
To be completed by the LPP Director:
LPP Director
Institution
Office Telephone Student LPP Enrollment Date
Describe all LPP activities or services received through LPP (in high school):
I certify that the student listed is an active student in the Liberty Partnerships Program and
the information provided is accurate.
LPP Director Signature Date
Please upload using the link on your ‘to do list.’
Or mail to:
2020 Liberty
Financial Aid Processing
Partnerships
Syracuse University
P. O. Box 37324
Syracuse, NY 13235
click to sign
signature
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signature
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