Scholarship Application
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Program of Study
*
Which scholarship(s) are you applying for?
If you are applying for a nursing scholarship, please upload your acceptance letter into the nursing program.
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Are you a military, veteran, or dependent of a veteran student from the U.S. Armed Forces?
Yes
No
If yes, please upload your Military Documents
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In at least 250 words, explain why you are choosing this program to study. What would it mean to you if you were to receive this scholarship?
*
Have you participated in any community service activities?
*
Yes
No
If yes, please briefly describe your community service.
*
If you are selected to receive this scholarship, would you be willing to speak at events to express the importance of student scholarships to members of the community or potential donors? Examples of speaking include sharing a statement of gratitude, saying the Pledge of Allegiance, and sharing your“why”. Your answer to this question will in no way affect your chances of being selected to receive a scholarship.
*
Yes
No
High School or College Transcript?
*
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Note: You can upload an unofficial transcript, but it must include your name.
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By submitting this application, I hereby verify that the information is true and accurate. I give permission for Fletcher Technical Community College to release my grades, contact information, and other pertinent information (ex: federal, state, or academic aid amounts; program; classification; etc.) to the scholarship donor and/or organization if needed.
*
I understand
By submitting this application, I understand that if I am awarded a scholarship, I am expected to attend the Scholarship Reception in the spring and send a thank-you card to the scholarship donor.
*
I understand
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