Scholarship Application

Fields marked with * are required.

Section 1: Personal Information

Identification
First Name:*		Last Name:*
Middle Name:		SCC Student ID:
County:
Date of Birth:*

Address
Street:*		City:*
State:*		Zip:*

Contact
Main Phone:*	- - (ex: 555-555-5555)	2nd Phone:	- - (ex: 555-555-5555)
Email:*
	Students will receive confirmation that the Scholarship Application has been received

Scholarships are funded by private donors through the Sandhills Community College Foundation Office and are administered through the SCC Financial Aid Office. A list of scholarships can be seen here.

Section 2: Educational History

High School
High School Name:
Graduation Date:*
If you received a GED, did you receive your GED from Sandhills Community College? Yes No

Sandhills
Current Major at SCC:*
Expected SCC Graduation Date:*

Do you plan to transfer to a four-year college? Yes No Undecided
Name of College?

Are you the first in your family to attend college? Yes No

Section 3: Personal Achievements / Accomplishments

High School or College Activities and Involvement (List clubs, athletics, honors, offices held, etc.):


Volunteer Experiences and Community Activity:

Section 4: Financial Need Analysis

Please file The Free Application for Federal Student Aid (FAFSA).
Students who do not file a FAFSA will only be considered for merit based scholarships

Are you receiving funds from other scholarships/loans/grants/NAFTA/WIA/VA/Childcare? If yes, give name(s) and amount(s):


Number of persons in your household? Adults Children Are you a single Parent? Yes No

Where are you now employed?

Are you employed by St. Joseph of the Pines? Yes No

Are you active military or a Veteran? Yes No

Give any additional information to show financial need and general worthiness: (Please be specific.)


Are you a member or a child of a member of Central Electric Membership Corp? Yes No
Members Name:

Section 5: Personal Goals

Please explain your future goals related to your college degree education:

Student Responsibilities

These items must also be submitted to be considered for a scholarship:

Complete and file the Free Application for Federal Student Aid (FAFSA).
Current high school students must submit a High School Transcript from their High School to the Financial Aid Office.
Forward a Scholarship Recommendation Form (pdf) to two faculty or staff members for completion (you must forward these, they will not be sent by the Financial Aid Office).
Students who receive a scholarship are expected to acknowledge to their donor their appreciation of the scholarship by sending their donar a Thank You note.
Scholarship recipients are expected to attend any scholarship functions planned by the Foundation Office if their donor will attend. Adequate notice will be given in advance to the student of any event.

Terms and Conditions

* I certify that the information given in this application is complete, accurate and true. This application grants the Financial Aid Office permission to release any information deemed appropriate for use in advertising, printed materials, news releases, correspondence with donors, or other legitimate use deemed proper including, but not limited to grades, success stories, photographs, biographies, etc. I also hereby authorize Sandhills Community College to put any scholarship funds in my student account to cover any outstanding charges, and the disbursement date of remaining funds is at the school’s discretion. I will contact the school and the Scholarship Coordinator if I will not be attending classes in the 2011-2012 school year.

Sandhills Community College | 3395 Airport Road, Pinehurst, NC 28374 | (910) 692-6185 | (800) 338-3944