D.E.F.I.N.E Application

*Required fields

Status *

NewReturning

Name *

Address *

Phone Number *

Email *

johndoe@email.sc.edu

Do You Work? *

YesNo

If so, where?

Work Schedule

TRiO Participant *

YesNo

By electronic signature, I am interested in participating in D.E.F.I.N.E. I will attend monthly meetings and strive towards academic excellence and womanhood. I understand that my participation in D.E.F.I.N.E. is a serious commitment.

Electronic Signature *

Date *