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2019-2020
Mitchell Community College Scholarship Application
Priority Date: May 31, 2019
SCHOLARSHIPS: Each student applying for a Mitchell Community College endowed scholarships are required to
complete a FAFSA (Free Application for Federal Student Aid) and the Mitchell Scholarship Application. The College will
consider all applicants for available scholarships. A 2.0 GPA or higher, and enrollment in nine or more credit hours at
Mitchell are required for most scholarships. Scholarships set up by outside donors will be awarded to students based on
donor’s criteria.
PLEASE PRINT LEGIBLY AND RESPOND TO EACH ITEM (Please use ink pen.)
Last Name __________________________________ First Name____________________________________ Middle Name ___________________
Address _______________________________________________________________________________________ Phone___________________________
Street City State Zip
Student ID# _____________________ Iredell County Resident Yes Major at Mitchell:____________________________________
If majoring in the nursing program, have you been accepted into the clinical portion of the nursing program? Yes
If graduated, or plan to graduate from an Iredell County High School, check appropriate high school:
North Iredell Yes South Iredell Yes West Iredell Yes Statesville Senior High Yes
Mooresville Senior High Yes Lake Norman Yes Year Graduated __________
Have you attended Mitchell Community College previously? Yes
If yes, number of hours completed _______________ Cumulative GPA: _______________
Check your planned enrollment status: Full-time Yes Part-time Yes
SCHOLARSHIP AWARD INFORMATION (REQUIRED)
Please describe your career objectives and how this scholarship will assist you with meeting these goals. Please
also list any extracurricular involvement, including athletics, as well as any honors or awards received to assist in
evaluating your application for scholarships. Please include information if you or an immediate family member has
been directly affected by cancer. THIS SECTION MUST BE COMPLETED IF YOU ARE APPLYING FOR SCHOLARSHIPS.
(You may attach additional sheets if necessary.)
MCC-186 Equal Opportunity College Revised 03/19
SCHOLARSHIP AWARD INFORMATION (cont.)
Mitchell Community College has a variety of scholarships available for students. Some of them have specific criteria. In order
to determine your eligibility for these scholarships, please check Yes if any apply to you.
Do you plan to transfer to a 4-year college or university and major in one of the following?
History Yes Political Science Yes Library Science Yes
Elementary Education Yes Teaching Yes
Are you an adopted child, foster child, or have you lived in a group home? Yes
Are you a descendent of one of the following? (Check all that apply):
Elizabeth Hill Yes Harvey Murdock Yes Jesse Tilden Davis Yes
George A. Scott Yes Are you a cousin or family member of Jane Shaw Myers? Yes
Does one or more of the following sources pay any portion of your tuition, fees, or books?
Employment Security Commission Yes TAA (Trade Adjustment AssistanceESC) Yes
Other Yes Please list _________________________________________________________________________
Are you, your spouse, or one of your parents employed by the City of Statesville? Yes
If yes, list the employee’s name __________________________________________________________________________________________________________
Are you a child or grandchild of a Mitchell College or Mitchell Community College graduate? Yes
Name of Graduate____________________________________________________Year graduated___________
Are you a descendant of a Davis Hospital School of Nursing graduate? Yes
Name of Graduate____________________________________________________Year graduated___________
Are you a child of an employee of L. Gordon Iron & Metal Company? Yes
If yes, parent name_______________________________________________________________________________________________________________________
Are you a child of an employee of Rental Uniform Services? Yes
If yes, parent name_______________________________________________________________________________________________________________________
Are you an active member of the SGA, or an active member of a Mitchell Community College club? Yes
Are you a member, or an immediate family member, of the Cool Spring Fire Department, or the Iredell County Rescue Squad? Yes
If an immediate family member, member’s name _______________________________________________________________________________________
Are you a member, or an immediate family member, of the Statesville branch of the NAACP? Yes
If an immediate family member, member’s name _______________________________________________________________________________________
Are you a Marine, child, grandchild, or great-grandchild of a Marine? Yes (Please provide copy of DD214.)
If direct descendent, Marine’s name _____________________________________________________________________________________________________
Are you receiving any other scholarships? Yes If yes, Please list the name and amount of the scholarship(s) you have been awarded
for 2019-2020: Name _____________________________________ Amount $___________________
Name _____________________________________ Amount $___________________
Scholarship information may be released for publicity. Mitchell Community College awards financial aid without regard to race,
ethnicity, religion, sex, age, disability, or national origin.
Student Signature ______________________________________________________ Date _____________________________________________________________
MCC-186 Equal Opportunity College Revised 03/19
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