2011-2012 General Scholarship Application For Merit and Need-based Scholarships Submit completed application packet to: Ms. Tammy Lester Financial Aid Officer Nash Community College Post Office Box 7488 Rocky Mount, NC 27804-0488 252-451-8371 or If you are a high school senior, please submit your completed application packet to your High School Guidance Counselor www.nashcc.edu
Name Address City State Zip Birthdate Home Phone Cell E-mail County of residence Are you currently a NCC student? Yes No NCC Student ID#: Enrollment Status: Full Time (12 or more credit hours) Part Time (6 to 11 credit hours) What program of study do you plan to enroll in for the upcoming fall semester? Marital Status: Married Separated Divorced Single While at NCC I will live with: Parent Spouse Alone Other Number of people in household: Work Status: Full Time Part Time Unemployed Employer What high school did you or will you graduate from? What year did or will you graduate high school? Did you participate in the NCC Dual Enrollment program while in high school? Yes No
The next 2 questions are not required. However, the information is needed to be considered for certain scholarships. Please write a descriptive paragraph that details your qualifications for a scholarship and indicate why you believe you should be selected as a scholarship recipient. Please describe your career goals and why you chose that career.
Please provide a descriptive list of your extracurricular activities. I understand that the information on this form as well as my transcripts may be given to the scholarship selection committee. If I am awarded a scholarship, I hereby give permission for the release of my academic progress to the donor and for the release of any publicity pertaining to the scholarship. I understand that if I am awarded a scholarship, I will be asked to attend the Annual Awards Day Program and to thank the donor of the scholarship in writing. I also understand that I may be called on to represent the college at special events and/or other college functions. Signature: Date: The NCC Foundation Scholarship Selection Committee reviews and selects recipients prior to the beginning of the upcoming school year.
Counselor or Instructor Recommendation: Your scholarship application will not be considered without a recommendation from a counselor or instructor. The recommendation may be attached on a separate sheet, if necessary. Scholarship Application Checklist To be considered for Need-based scholarships, the following information is required: Completed NCC Application Completed NCC Foundation Scholarship Application Student Aid Report/or FAFSA Official High School Transcript Counselor/Instructor Recommendation To be considered for Merit-based scholarships, the following information is required: Completed NCC Application Completed NCC Foundation Scholarship Application Official High School Transcript Official College Transcript (if applicable) Counselor/Instructor Recommendation Nash Community College is accredited by the Southern Association of Colleges and Schools Commission on Colleges to award the Associate in Arts, Associate in Science, Associate in General Education, and Associate in Applied Science degrees. Contact the Commission on Colleges at 1866 Southern Lane, Decatur, Georgia 30033-4097 or call 404-679-4500 for questions about the accreditation of Nash Community College. Nash Community College s mission is to provide an affordable educational environment which prepares students for college transfer and rewarding careers. Through high quality instruction, technology, workforce development, and community partnerships, Nash Community College provides lifelong learning opportunities to individuals, communities, and organizations. Nash Community College does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities. The following have been designated to handle inquiries regarding the non-discrimination policies: ADA Counselor or Director of Human Resources Nash Community College 522 N. Old Carriage Road, PO Box 7488 Rocky Mount, NC 27804-0488, 252-451-8260 or 252-451-8258. For further information on notice of nondiscrimination, see the list of Office of Civil Rights enforcement offices at http://wdcrobcolp01.ed.gov/cfapps/ocr/contactus.cfm for the address and phone number of the office that serves your area, or call 1-(800)-421-3481.