LIFT Application (Complete) - Salina Education Foundation

section a: LIFT Program Application FormTo be completed by applicant and sumbitted immediately.NOTE: All submissions become the property of the Salina Education Foundation and will not be returned. Pleasekeep a copy for your records. Send this completed Section A to: pam.mcintyre@usd305.comPART I:____________________________________________________________________________________________________________________________________________LAST Name fIrst mIDDLE INITIALMALEFEMALE____________________________________________________________________________________________________________________________________________PERMANENT AddressemaIL____________________________________________________________________________________________________________________________________________CITY state ZIPPART II:____________________________________________________________________________________________________________________________________________Name OF CLOSEST RELATIvereLATIONSHIP____________________________________________________________________________________________________________________________________________ADDressemaIL____________________________________________________________________________________________________________________________________________CITY state ZIPPART III____________________________________________________________________________________________________________________________________________HIgh School attendedYear of graduation____________________________________________________________________________________________________________________________________________college attending/planning to attendanticipated year of graduation____________________________________________________________________________________________________________________________________________majorteaching level(Preschool, elementary school,middle school, High School)Loan Initiative for future teachers (lift) grant application page 2 of 8