ASRCC Book Scholarship Application
The goal of this scholarship is to financially assist students. Receipts will be required. Applications will be reviewed and
awarded by a Student Services Administrator and/or a Student Activities Coordinator based on demonstrated need. The
scholarship requirements are: students must meet with a Student Services Administrator or Student Activities Coordinator,
must have paid the Student Services fees for entire enrollment at RCC.
RCC Email
(Student must activate RCC Email)
Did you apply for
Financial Aid?
If you did apply, what is your FAFSA
Expected Family Contribution?
If you did not apply, Why?
Are you part of any other program on campus? If yes, which one and do they provide assistance with
books? (EOPS, DSPS, SSS, TRIO, Upward Bound, La Casa, Ujima, and Guardian Scholars Etc.)
Briefly explain the extenuating circumstances to consider when reviewing your application?
Please attach a copy of your class schedule, books needed (with price) and email to studentactivities@rcc.edu
Student Signature: ___________________________________ Date: ________________________
Below is for Student Services Administrators and/ or Student Activities Coordinators to complete
Office Use Only *** Appointment Date: ___________ GPA: ____ Units Attempted: ____ Units Completed: ____
Fees paid: _______ Total Dollar Amount Awarded: $_______
NOTES: __________________________________________________
Approve___ Decline___
_________________________________ __________________
Student Services Administrator Signature Date
Or Student Activities Coordinator
