APPLICATION FOR KCC FOUNDATION GRANT
ELIGIBILITY CRITERIA
• A matriculated Kingsborough Community College student.
• Registered for the current semester.
• Have a current FAFSA on file OR a referral form from Single Stop for a Benefit Screening
• Have a Cumulative G.P.A. of 2.0 or higher.
• The student must submit a typed 500 word personal statement.
PART A: BIOGRAPHICAL INFORMATION (Please print)
Name: ______________________________________________________________________
Mailing Address: ______________________________________________________________________
Number Street Apt.# City State ZipCode
CUNYfirst EMPLID: ____________________________________________________________
Home Phone #: ______________________ Cell Phone #: _______________________________
E-Mail: ______________________________________________________________________
Major: __________________________________ Cumulative G.P.A: ______________________
Do you participate in any college activities or clubs? _______If so, which one(s)? _________________
Have you received a scholarship from this office before: ________________ Which one? __________
PART B: PERSONAL STATEMENT
*Attach a typed 500 word personal statement to the application that describes: Why you chose your
current major and what career you plan on pursuing. Any financial obstacles you are facing. If awarded,
how do you plan on using the funds received? Lastly, please provide a “plan of action” for how you
intend to cover these expenses moving forward.
PART C: SUBMISSION DIRECTIONS
Applications must be submitted to the Office of the Vice President for Student Affairs Room A216. Only
those who meet all eligibility criteria and satisfy guidelines will be considered. Scholarships will be
awarded according to the availability of scholarship funds and the Donor’s guidelines. The recipient will
be notified of their award by mail,\.
**In the event that the total amount of your award totals $600 or more during a calendar year, a
Form 1099-Misc may be issued to you at year-end, governed by IRS regulations.
To be filled out by the Scholarship Committee: Semester: __________ Balance $___________________
EFC $___________ Financial Need $__________ PELL $___________ TAP $__________
Scholarship$_____________ Source _________________
