BE SURE TO COMPLETE THE APPLICATION IN FULL AND
ATTACH MATERIALS REQUIRED FOR SCHOLARSHIP(S) YOU SEEK, INCLUDING
TRANSCRIPT(S), RECOMMENDATION LETTER(S), AND YOUR ESSAY(S)
1
2020 SCHOLARSHIP APPLICATION
Asnuntuck Community College Foundation, Inc.
170 Elm Street, Enfield, CT 06082
860-253-3041
860-253-3007 (fax)
Please see attached for scholarship requirements and overview. You may submit for more than one
scholarship on this application; please check all that apply:
DEADLINE: All materials must be received by Monday, April 6, 2020, at 4:00 p.m.
STUDENTS: Please complete this application to apply for the listed scholarships. Be sure to sign and date it,
enclose all required materials (see requirements page), and return everything to: Financial Aid Office at
170 Elm Street, Enfield, CT 06082 (fax 860-253-3007), by Monday, 04/6/20 at 4 p.m.
Please print and attach any additional information you would like to share with the Scholarship Committee.
All applications must be complete and meet the requirements of each scholarship.
Name
Asnuntuck ID # @
Last First Middle
(
if applicable)
Email
Address
Street Address
City State Zip
Date of Birth Daytime Phone
When will you enter Asnuntuck Community College? (Month/Year)
Asnuntuck Program of Study
Please list your school and community activities, including dates.
(Examples: “Extracurricular: Patient Services Volunteer, Hartford Hospital.” “Senior Class Officer.”)
What do you plan to do after graduating from Asnuntuck?
Expected graduation date (Month/Year):
High School
High School Graduation Date
BE SURE TO COMPLETE THE APPLICATION IN FULL AND
ATTACH MATERIALS REQUIRED FOR SCHOLARSHIP(S) YOU SEEK, INCLUDING
TRANSCRIPT(S), RECOMMENDATION LETTER(S), AND YOUR ESSAY(S)
2
STUDENT CERTIFICATION
I declare that the information reported on this application is true and accurate. I authorize Asnuntuck Community
College to release information regarding my scholarship application, which may include financial aid information, if
applying for a scholarship that must demonstrate financial need. I have attached all of the materials for this application
- as outlined - on the requirements sheet.
SIGNATURE DATE
Please place a check next to the scholarship(s) in the category you are applying for.
CURRENT ACC SCHOLARSHIPS (SNAP &WIOA STUDENTS NOT ELIGIBLE)
ACC Foundation Scholarship
(5 scholarships available)
Edward & Catherine Juozokas Scholarship
Andrew Associates Scholarship
Melody Parlos Memorial Scholarship for
Registered Medical Assistants
Carole Del Vecchio "Pay it Forward" Scholarship
Nadia Kober Writing Scholarship
Dardanelli Criminal Justice Scholarship
Anne Mazza Alumni Scholarship
Early Childhood Education Scholarship
William J. McGurk Scholarship
360 Federal Credit Union Scholarship
The Donald A. Cotnoir Scholarship
Human Services Scholarship
Massage Program Scholarship
The Raymond Miller Family Scholarship
Judith K. Shaffer Memorial Scholarship
The J and K Thomas Scholarships
Microbiology Scholarship
Joyce Keating Scholarship
Mark Wilcox Memorial Scholarship
(Manufacturing CNC)
ACC CONTINUING EDUCATION SCHOLARSHIPS (SNAP &WIOA STUDENTS NOT ELIGIBLE)
Continuing Education Scholarship (three)
HIGH SCHOOL SCHOLARSHIPS
Robert McDonald Scholarship Fund
(1 scholarship available)
Simanski Family Scholarship Fund
(1 scholarship available)
The J and K Thomas Scholarships
William J. McGurk Scholarship
(1 scholarship available)
All applications must be complete and meet the requirements of each scholarship. Be sure to sign
and date your application; enclose all required materials (see requirements page). Please be sure everything
arrives at the Financial Aid Office by Monday, 04/6/20, 4:00 p.m. 170 Elm Street, Enfield, CT 06082
(fax 860-253-3007). For questions, regarding the application process, please contact:
Keith Madore, kmadore@asnuntuck.edu or
860-253-3041.
click to sign
signature
click to edit
SCHOLARSHIP REQUIREMENTS
Page 1 of 3
CURRENT ACC STUDENTS
Each ACC student applying for a scholarship offered by the ACC Foundation must:
Be at least a half-time student (6 credits)
Apply for or be in a degree program
Provide a transcript of ACC course work (an unofficial copy will be accepted)
Provide a letter of recommendation from an ACC faculty member (only one letter is required
even if applying for more than one scholarship)
Answer all questions on the scholarship application
Write a one-paragraph essay answering: How will Asnuntuck Community College assist in
achieving your goals for future success?
Have a minimum G.P.A. of 3.0
Have completed at least one semester at ACC and be continuing at ACC for the following
semester. (All scholarships are for students returning to ACC next semester. Award funding
will be credited to the student’s account at the Business Office.)
Available Scholarships
Additional Requirement
ACC Foundation Scholarship
none
Andrew Associates Scholarship
Awarded to a promising Business Student.
Carole Del Vecchio “Pay it Forward”
Scholarship
Awarded to a non-traditional female student who demonstrates
financial need.
The David Dardanelli Criminal
Justice Scholarship
Awarded to a student in the Criminal Justice program.
Early Childhood Education
Scholarship
Student must be majoring in the Early Childhood Education
program.
Human Services Scholarship
Student must be majoring in the Human Services Program.
Edward & Cathy Juozokas
Scholarship
Recognizes outstanding achievement in the sciences and
commitment to continuing study in the sciences, including health
professions.
The Donald A. Cotnoir
Scholarship
Must be pursuing a Business Administration degree and be a student who
is in the process of completing their second semester at ACC (minimum
24 credits). Applicant must write a 500 word essay on why volunteerism
is important to your life, and how/what you plan on doing in the next 5-10
years to help others (include past or current activities, if relevant for the
future).
SCHOLARSHIP REQUIREMENTS
Page 2 of 3
CURRENT ACC STUDENTS - Continued
Nadia Kober Writing Scholarship
Include a one-page cover letter addressing the topic, "What has been your
approach to writing assignments in your courses at Asnuntuck?" and 10-
20 pages of written work produced for credit courses at Asnuntuck during
the applicant's time as a student here. The writing can be of any type
(nonfiction, fiction, poetry, etc.).
Anne Mazza Alumni Scholarship
none
J & K Thomas Fund Scholarship
Must be enrolled in a Degree Seeking Professional Program
360 Credit Union Scholarship
Must be engaged in volunteer activities and have demonstrated exceptional
community service throughout the past 12 month
William J. McGurk Scholarship
Candidate must demonstrate financial need and live in the service
area.
Miller Family Scholarship
Must demonstrate commitment and service to the greater community.
Massage Program Scholarship
Student in good standing and demonstrates needs
Melody Parlos Memorial
Scholarship
An exceptional student studying to be a Registered Medical Assistant
Microbiology Scholarship
Student with exceptional grade in the Microbiology Course
Judith K. Shaffer Scholarship
The scholarship goes to a single mother in need of financial
assistance who is in good academic standing.
CONTINUING EDUCATION STUDENTS
Each ACC Continuing Education student applying for a scholarship offered by the ACC
Foundation must:
Be enrolled in a Continuing Education Certificate Program (All scholarships are for
students continuing in their program. Award funding will be credited to the student’s
account at the Business Office.)
Provide a transcript of ACC course work (an unofficial copy will be accepted)
Provide a letter of recommendation from an ACC faculty member
Answer all questions on the scholarship application
Write a one-paragraph essay answering “How will Asnuntuck Community College
assist in achieving your goals for future success? “
Have satisfactory grades in courses completed within the program
SNAP and WIOA students are not eligible for these scholarships.
Available Scholarships
Additional Requirement
Continuing Education Scholarships
Enrolled in a Continuing Education Certificate Program
SCHOLARSHIP REQUIREMENTS
Page 3 of 3
HIGH SCHOOL STUDENTS
Each High School student applying for a scholarship listed below, offered by the ACC
Foundation must:
Be at least a half-time student (6 credits)
Apply for a degree program
Provide an official transcript, which may be faxed to 860-253-3007 (an unofficial transcript will
not be accepted)
Provide a letter of recommendation from a guidance counselor or teacher (only one letter is
required even if applying for more than one scholarship)
Answer, all questions on the scholarship application
Write a one-paragraph essay answering: How will Asnuntuck Community College assist in
achieving your goals for future success?
Available Scholarships
Additional Requirement
Robert McDonald Scholarship Fund
Provide documentation of physical and/or learning
challenges.
Simanski Family Scholarship Fund
Provide documentation of physical and/or learning
challenges.
In place of the above essay, write a one-paragraph
essay explaining how a developmental education
course will help prepare you to succeed in college.
Must be enrolling in at least one developmental
education course.
William J. McGurk Scholarship
Candidate must demonstrate financial need and live in the
service area.
Mark Wilcox Memorial Scholarship
New Student entering CNC Manufacturing
The J and K Thomas Fund
Must be enrolled in a Degree Seeking Professional Program
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