Collin College Foundation : Scholarship Application Form

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APPLICANT INFORMATION


Semester Applying For:
Applicant Name

First
Middle Initial
Last

College Wide ID Number or* SSN*
CWID is College wide ID Number - Your 8-digit college wide ID, assigned at time of admittance (ie. 99999999). Contact the Admissions Office if you do not have it. You must be registered in order for us to consider your application for scholarship. If you have not been assigned a CWID yet, please enter your Social Security Number.


Mailing Address
Address
Apt. #
City
State
Zip Code
County

Telephone Numbers

Phone:
Please enter using the following format: 999-999-9999

Cell Phone Number
Please enter using the following format: 999-999-9999

E-mail Address
(If no e-mail address, enter "None")

Are you a citizen or permanent Resident of the United States?	Yes	No

If no, what type of Visa do you have?


Date of Birth



Gender
Male	Female

Marital Status (optional)


Number of Children (optional)
(If none,enter "0")

Disability
Do you have a disability as defined by Section 504 and the Americans with Disabilities Act of 1990?
Yes	No

EDUCATION

Highest Level of Education

Date of Completion:

College Information (If no college data yet, enter "None")

College 1
Name of College Attended
Attendance Dates	From: To:
Credits Earned
Degree Received

College 2
Name of College Attended
Attendance Dates	From: To:
Credits Earned
Degree Received

College 3
Name of College Attended
Attendance Dates	From: To:
Credits Earned
Degree Received

ENROLLMENT INFORMATION

Intended Major or Area of Study at Collin College?


If transferring, which college or university will you be attending?


How many credit hours do you plan to take per semester?

If employed, how many hours per week will you work in the fall?

Community Service
List up to 4 of your community service or Volunteer activities during the last 5 years:
1 - Organization Name:
From: To:
Describe type of activity or service?

2 - Organization Name:
From: To:
Describe type of activity or service?

3 - Organization Name:
From: To:
Describe type of activity or service?

4 - Organization Name:
From: To:
Describe type of activity or service?

PERSONAL ESSAY

At the beginning of your essay, please indicate whether you are applying for a specific scholarship. Either directly key in or copy and paste your responses to each question. Your essay is very important.

1500-characters maximum for each question.

Please Proofread Your Responses Carefully!

What are your educational goals, career objectives, any pertinent family and financial circumstances, experience, etc.?

How will a scholarship help you achieve the above goals?

Please share any other pertinent family or financial information that will help us evaluate your application.

By typing my name here, I certify that I am the person completing the above application and that my answers are true and complete to the best of my knowledge. I authorize Collin College and Collin College Foundation to verify the information I have provided. I further understand that the donors, Collin College Foundation, and the Scholarship Selection Committee will see the information provided, including financial aid information on file at Collin College to evaluate and award scholarships. If this application leads to me receiving a scholarship, I understand that false or misleading information in my application may result in the rejection of my application.

Signature:

With few exceptions, state law gives you the following rights regarding the information collected by Collin College about you: the right to request to be informed about the information, the right to receive and review the information, and the right to correct information about you that is incorrect..

Have You……

ü Fully completed the scholarship application form?

ü Answered the essay questions?

ü Made sure all your high school and/or college transcripts are on file with the Collin College Admissions Office?

Scholarship Application Form

How to Create a Scholarship

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