Student Name: *

CU Id Number *

Clemson Email Address: *

LIFE

Palmetto Fellows

University Scholarship:

Anticipated Enrollment: Please indicate number of hours for each session:

Maymester Session	May 12- May 27	# of hours: Will Not Enroll 1 2 3 4 *
1st Summer Session	May 20 - June 24	# of hours: Will Not Enroll 1 2 3 4 5 6 7 8 9 *
2nd Summer Session	July 2 - Aug 6	# of hours: Will Not Enroll 1 2 3 4 5 6 7 8 9 *

Comments:

Certification:

* I understand that I must complete a total of 12 credit hours during the summer sessions. I also understand that if I am eligible to receive the summer disbursement, that LIFE, Palmetto Fellows or University Scholarship funds will be disbursed during 1st Summer Session. I further understand that if I do not enroll and complete 12 credit hours, I may be asked to repay the scholarship or may jeopardize future scholarship eligibility.