Fillable 1920 General Scholarship Application 1 (Northwest State Community College)

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1920 General Scholarship Application 1 (Northwest State Community College)

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The 1920 General Scholarship Application 1 (Northwest State Community College) form is 1 page long and contains:

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File type: PDF

U.S.A. forms for Northwest State Community College

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Northwest State Community College • 22600 State Route 34 • Archbold • OH • 43502
Phone: 419-267-1333 • Fax 419-267-5587
Student Name: ______________________________________ NSCC ID number: N_______________________
Address: ___________________________________________ Home Phone Number: (_____)________________
City: _________________ State: _____ Zip Code: ____________ Cell Phone Number: (_____)______________
County: ____________________________ Email Address: ____________________________________________
Birthdate: __________________________
Projected NSCC Graduation Date: ______________________ I am attending:  Full time  Part-Time
I or a family member is employee at one of the following? Name & Relationship:__________________________
Arrow Tru-Line CK Technologies Automatic Feed Alex Products Allied Moulded
I have an immediate family member that is a graduate of NSCC?  Yes  No
Name of Graduate: __________________________ Relationship (ex. Father): __________________
Last 4 digits of their SSN: ____________ Graduates date of birth ____________________
I or my spouse/parent(s) are a Veteran(s)? Yes No If yes, list relationship ________________________
I have filled out the 2019-2020 FAFSA? Yes No I am a member of PTK? Yes No
Describe how a scholarship will impact your educational goals?
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Describe your involvement/volunteering in campus or community activities.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Describe what you would like the scholarship review committee to know about you.
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
Information obtained through this application and from your student record will be shared with the scholarship committee in order to
successfully determine scholarship eligibility. By signing this form, I Certify that all the information reported is complete and correct. If
selected as a scholarship recipient, I give permission for my name to be shared in marketing materials and press releases.
Student Signature: __________________________________ Date:______________________
Northwest State Community College does not discriminate on the basis of race, color, national origin, sex, gender identity, disability, religion or age
in its programs or activities.
2019-2020
Scholarship Application
Henry County residents provide copy of unexpired state ID Office Use: Verify__________
Office Use: NSCC Verify_____________
Application is due in the NSCC Financial Aid Office by 4:00 pm on February 15, 2019
Northwest State Community College • 22600 State Route 34 • Archbold • OH • 43502
Phone: 419-267-1333 • Fax 419-267-5587
Scholarships Needing Additional Documentation
Francis O. Fackler - Henry County Students
Must provide a copy of an unexpired driver’s license or State ID to verify
Henry County address if mailing your application. You must show the ID to
the financial aid worker if bringing the application to our office, and we will
verify it for you.
PHI THETA KAPPA International Honor Society Scholarship
Eligibility: Any second year student (30 or more credits earned) maintaining
3.5 GPA or higher. Must be a member of PTK. In addition to the scholarship
application, students must submit a typed essay including personal,
academic and career goals, significant life experiences, accomplishments,
school and/or community activities and an explanation of your financial
need.
Allan Ohlrich
Students must submit a 300-500 word typed essay describing why they chose
a degree in Criminal Justice Law Enforcement Academy.
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1920 General Scholarship Application 1 (Northwest State Community College)

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Completed 3 October 2020

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