2022-2023
SCHOLARSHIP APPLICATION
Student Financial Services
1500 College Parkway Elko, NV 89801 (Phone) 775.327-2095 (Fax) 775.753.2390
Email: financial-aid@gbcnv.edu Web site: www.gbcnv.edu/financial
Priority deadline for submitting the Annual GBC Scholarship application is Friday, March 11, 2022 by 5:00 pm.
Complete this application if you are interested in applying for GBC scholarships. Please be advised that this application may
be submitted to scholarship committees for which you meet specific criteria. If you wish to be considered for any
scholarships that have financial need criteria, you must also complete the Free Application for Federal Student Aid
(FAFSA) for 2022-23. Priority deadline is March 11, 2022.
Please utilize the GBC website www.gbcnv.edu/financial for information on applying for financial aid. GBC School Code 006977.
Name_________________________________________Student ID#:
____________________________________
Address_______________________________________Mobile phone #:_________________________________
City/St/Zip_____________________________________ Date of Birth: ______/______/_______________
Email address__________________________@___________________
GBC Admission Application- Complete at My GBC Self-Service Center at www.gbcnv.edu
Submit the Free Application for Federal Student Aid (FAFSA) www.fafsa.ed.gov
(if applying for need based scholarships)
Personal Statement [typed statement between 100 and 500 words]
Do not include your name, spouse, or children’s name in your statement.
*
**Suggestions of what to write in your personal statement- see last page of application***
Transcripts: An unofficial copy from My GBC Self-Service Center is acceptable (MUST BE ATTACHED)
Provide a high school transcript if enrolling directly from high school or have not attended college
elsewhere.
Provide unofficial GBC transcript, if you are currently enrolled in classes at GBC (MUST BE ATTACHED)
If you have attended college elsewhere, provide unofficial transcript(s) from that institution
Educational degree objective (must match with the GBC Admission and Records Office)
Signed and dated Authorization to Disclose Educational Records (see page 2)
Signed and dated Certification (see page 2)
This application becomes complete and valid when all the documentation above has been submitted.
***ITEMS LEFT BLANK OR UNANSWERED MAY CONSTITUTE AN INCOMPLETE APPLICATION***
Applicant Data
Checklist:
Student Financial Services 1500 College Parkway Elko, NV 89801 775.327-2095
Email: f
inancial-aid@gbcnv.edu Web site: www.gbcnv.edu/financial
AUTHORIZATION TO DISCLOSE EDUCATIONAL RECORDS
and
CERTIFICATION
I
, _______________________, hereby authorize Great Basin College to release my education records,
including directory and non-directory information and records pertaining to my application for financial aid, to
Great Basin College Foundation until I withdraw this authorization.
The released education records will be used for the purposes of evaluating my eligibility to receive
scholarships, correspondence with scholarships donors, and press releases relating to scholarships recipients.
I expressly authorize Great Basin College Foundation to disclose my education records for these purposes.
I understand that by signing this authorization, I am waiving my rights of nondisclosure of these records
under federal law only as to the person or persons specifically listed. This release does not permit the disclosure
of these records to any other persons or entities without my written consent.
Additionally, I give Great Basin College and Great Basin College Foundation permission to use my
photograph/video for the purpose of publicity associated with scholarships awarded. This release is intended to
discharge any and all claims and demands arising out of or in connection with the use of photography/video in
which my image appears, including any and all claims for libel or invasion of privacy. I hereby grant Great Basin
College and Great Basin College Foundation the ownership and full use of any photographs/videos that are taken.
I certify that all information I have provided on the GBC Scholarship Application is true and complete to the
best of my knowledge. I acknowledge that if I am selected to receive a scholarship, it is my responsibility to
understand the requirements of the specific scholarship.
D
ate____________________ Print Name: ______________________________________
Student’s Signature________________________________
Student’s GBC ID (ten digit) #:______________________________
click to sign
signature
click to edit
App #:________________
1500 College Parkway Elko, NV 89801
Student Financial Services
Phone #: 775.327-2095
Fax: 775.753.2390
Official School Name_________________________ Graduation Date_____/_________
Name of County and state where you graduated from high school_______________
GED
(date & year obtained) ________________
Optional Response/Ethnicity: Asian Hispanic or Latino Black/African American White
American Indian or Alaskan Native Native Hawaiian/Other Pacific Islander
Gender : MALE FEMALE
Are y
ou are resident of Nevada? YES NO
Are y
ou a U.S. citizen? YES NO
Resi
dential Preference: On Campus Off Campus
(please select one)
Are you a Veteran? YES NO
Do you do
volunteer work in your community?
YES NO If yes, please explain your essay.
Number of credits you plan to enroll for:
11 cr
edits 12 or more
(please check one)
11 credits 12 or more (please check one)
9- Fall 2022 1-8 credits
Spring 2023 1-8 credits 9-
What campus will you be
attending?
Winnemucca Battle Mountain Elko
Ely Pahrump Online
(Choose only one)
Cr
edits completed at Great Basin College: ___________________
Total college credits completed: __________________ Did you graduate? YES NO
Degr
ee/Certificate earned_________________________________
Wha
t is your declared major with GBC Admission and Records Office? ________________
***See back of this page for declared major codes****
If undeclared or declared an Associates of General Studies, what is your educational goal?
___________________________
High School Data
Other:
Residency:
Enrollment
College Data
Education Objective
App#______________
CHOOSE THE ONE GOAL OR MAJOR THAT BEST DESCRIBES YOUR EDUCATIONAL OBJECTIVE
Degree
Code
Degree
Code
Bachelor of Arts
Computer Office Technology
Elementary Education
EDEL-BA
GIS
COTGIS-AAS
Post Baccalaureate
EDELP-PB
Graphic Communications
COTGC-AAS
Natural Resources
ISNR-BA
Information Specialist
COTIS-AAS
Social Sciences
ISSS-BA
Network Specialist
COTNS-AAS
Secondary Education
Office Technology
COTOT-AAS
Agriculture
EDSEAG-BA
Web Specialist
COTWS-AAS
Biological Science
EDSEBIO-BA
Criminal Justice
Business Education
EDSEBU-BA
Corrections
CRJC-AAS
English
EDSEEN-BA
Law Enforcement
CRJLE-AAS
Mathematics
EDSEMA-BA
Diesel Technology
DT-AAS
Social Science
EDSESS-BA
Early Childhood Education
Post Baccalaureate
EDSE-PB
Early Childhood
ECE-AAS
Infant/Toddler
ECEIT-AAS
Bachelor of Science
Electrical Systems Technology
ELEC-AAS
Nursing
NUR-BSN
Human Services
HUMSV-AAS
Industrial Millwright Technology
INDMIL-AAS
Bachelor of Applied Science
Nursing
NUR-AAS
Instrumentation Technology
INST-BA
Radiology Technology
RADTEC-AAS
Land Surveying/Geomatics
LSG-BAS
Welding Technology
WELD-AAS
Management
Technology/Supervisorial
MGTTEC-BAS
Human Services
Certificates
UNR Bachelor of Social Work
Accounting Technician
BUSAC-CT
GBC 3 + 1
SW-PM
Business Administration
BUS-CT
Diesel Technology
DT-CT
Associate of Arts
ARTS-AA
Early Childhood Education
ECE-CT
Agriculture
AG-AA
Electrical Systems Technology
ELEC-CT
Early Childhood
ECH-AA
Entrepreneurship
BUSENT-CT
Teaching
EDU-AA
Human Services
HUMSV-CT
English
AA-ENG
Industrial Millwright Technology
INDMIL-CT
Associate of Science
SCIENCE-AS
Instrumentation Technology
INST-CT
Biological Sciences
AS-BIOL
Medical Coding
MEDCODE-CT
Engineering Science
ENGR-AS
Medical Transcriptionist
MEDTR-CT
Land Surveying/Geomatics Science
AS
Office Technology
COTOT-CT
Natural Resources
AS
Retail Management
BUSRM-CT
Associate of General Studies
GEN-AAS
Spanish Interpreter/Translator
SPANIT-CT
Substance Abuse Counselor
HUMSVSA-CT
Associate of Applied Science
AG-AAS
Welding Technology
WELD-CT
Agriculture
Business Administration
BUSAC-AAS
Accounting
BUSENT-AAS
Entrepreneurship
BUS-AAS
General Business
Note: Degrees followed by the * symbol indicate that the course is not covered by financial aid
Input degree if not listed:
Suggestions for Writing a Scholarship Application:
Your Personal Statement
In order for the selection committee to better understand your strengths and your needs, you may
consider the following items for your personal statement:
An introduction that reflects your request for consideration
A statement containing your overall academic and life goals
A list of specific academic objectives
A description of your career goals
Personal reasons reflecting need for financial assistance
Academic history, including both challenges and achievements
Work history, leadership roles, and recognition
Cultural factors
Travel and relocations as related to life goals
Volunteer experiences
High school history and achievements
Awards, recognition and previous scholarships received
Community service participation
Leadership experiences in community and school organizations
Challenges regarding health and wellness issues, learning disabilities, etc.
Special considerations in terms of rural locations, commute issues, etc.
Family considerations
Summary statement that contains specific or general requests
Statement of appreciation, in advance, for consideration of your statement
Format suggestions:
Check your writing for correct spelling, grammar and punctuation
Have another person read your work for clarity and errors
Use complete sentences
Begin with a introductory paragraph and end with a summary statement
Length should be approximately one page, and not less than a half-page
Use a computer and type in 12-point Arial or Times font, if possible
Do not use bold type
Double space between paragraphs
Use a new paragraph for each topic area
**MAKE SURE TO COMPLETE ALL QUESTIONS ON THE APPLICATION **