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 for High School Students
Asnuntuck Community College Foundation, Inc.
170 Elm Street, Enfield, CT 06082
860-253-3041 or 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 Friday, May 1, 2020.
STUDENTS: Please complete this application to apply for the listed scholarships. Be sure to
electroniclly sign and date it, attach all required materials (see requirements page), and return
everything to: kmadore@asnuntuck.edu, by Friday, 05/01/20.
Please 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
Please place a check next to the scholarship(s) in the category you are applying for.
HIGH SCHOOL SCHOLARSHIPS
Simanski Family Scholarship Fund
(1 scholarship available)
William J. McGurk Scholarship
(1 scholarship available)
HIGH SCHOOL STUDENTS
Each High School student applying for a scholarship listed below, offered by the ACC
Foundation must:
Be at least a be enrolled for (6 credits) for Summer/Fall 2020
Apply for a degree program
Provide an official transcript, which may emailed to kmadore@asnuntuck.edu (an unofficial
transcript will be accepted due to COVID-19)
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
All applications must be complete and meet the requirements of each scholarship. Be sure to electronically
sign and date your application; enclose all required materials (see requirements page). Please email
kmadore@asnuntuck.edu by Friday, May 1, 2020. For questions, regarding the application process, please
contact: Keith Madore, kmadore@asnuntuck.edu or
860-253-3041.
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
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signature
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