Students entering their 5th year of college-
please call the Sapelo Foundation office and speak with the Scholarship Officer concerning eligibility.
Students who have received the Richard J. Reynolds, Jr. Scholarship Program for 5 or more years are no longer eligible.
Richard J. Reynolds, Jr. Scholarship Program
This Application Form
Is ONLY For First Time McIntosh County Academy Graduates

- PART A -

Please click HERE for the Application Form for 2nd - 5th Year Student Applicants

Online applications for the 2009-2010 school year will be accepted
October 1, 2008 - March 1, 2009.
(Note: The Online Application Form will function only during this period.)

Students complete PART A and submit online or mail to The Sapelo Foundation, 1712 Ellis Street, 2nd Floor, Brunswick, GA 31520 by the deadline date of March 1. College Acceptance letters for first time applicants must be mailed or faxed to the Foundation by March 1. If you have questions concerning this form contact Barbara Bowdry, 912/265-0520.


Student Information:
Last Name:
First Name:
Middle Name:
Address:
City:
State:
Zip:
Phone:
SS#:
DOB:
High School:
Graduation Date:
GPA:
Parent/Guardian Information:
Name(s):
Relationship:
Address:
City:
State:
Zip:
Phone:
Employment:
College Information
College:
Address:
City:
State:
Zip:
Phone:
Financial Aid Counselor:
   I have been accepted and will enroll
   I have applied but am not yet accepted
   Accepted but not sure I will attend - Why? (Please Answer Below)
Financial Aid Information
Cost of Tuition:     
I will be attending full time
Estimated date of college graduation:
   Check if you are you eligible for the HOPE Grant.
   Check if you have applied for other grants.
   Check if you have spoken with the college Office of Financial Aid.
Your family's Estimated Annual Income is:
   $0-15,000    $15,000-20,000
   $20,000-30,000    $30,000-50,000
   over $50,000
Number of siblings in home:     
Number of siblings attending college:     
Check if they are Richard J. Reynolds Scholars.
If so, what are their names?
Release: I hereby affirm that the information given in this application is correct to my best knowledge. Furthermore, I authorize the Student Financial Aid Office at the college, university or technical college to provide the requested information on this application and to release information on my academic status to The Sapelo Foundation as requested.

Signature: ____________________________________________
Date:   Check box to affirm:



Click here for - PART B -
Click here for - PART C -