1
Application for ESCC Foundation Scholarships
2020-2021 Academic Year
Applicant Information
Full Name:
Id#:
Last
First
Address:
Street Address
City
State
County of residence:
Number of years lived in this county:
Education
High School:
From:
To:
Did you graduate?
YES
NO
Receive a GED?
YES
NO
Year:
Required Information
1. Attach a statement explaining your educational and career goals, including any plans to
pursue additional education beyond ESCC.
2. Attach a statement of 100-250 words explaining why you need financial assistance.
3. List any school or community activities or clubs you have been involved with. Please
describe your involvement in each and include any offices held or honors received.
4. If applicable, please attach a copy of your I-797 Notice of Action form.
5. Are you a first generation college student? Meaning are you the first in your family to
attend college? Family is defined as parents and siblings.
YES
NO
2
Certification of High School GPA
If you are a
high school senior, please have your high school counselor complete the
statement below to officially verify your cumulative grade point average.
High School GPA:
I certify that
the latest high school grade point average for this student is listed above.
Counselor’s Signature:
Date:
Disclaimer and Signature
* Please be aware that applicants must be in an eligible degree or certificate
program and enrolled in at least 6 credits per semester.
** We strongly encourage applicants to complete the 2020-21 Free
Application for Federal Student Aid (FAFSA). For more information or
assistance with completing the FAFSA, please contact the Financial Aid
Coordinator at cread@es.vccs.edu.
To the best of my knowledge, the information provided is true and correct. I authorize the
Financial Aid Committee to review my academic records as well as any financial aid information
on file in the ESCC Financial Aid Office. Should I be awarded a scholarship, the donor may be
provided my name and pertinent personal data such as grade point average, activities, awards
and honors. Such information may be released to the news media.
.Student’s Signature:
Date:
Parent’s Signature:
Date:
(If applicant is dependent on parent for support)
The application deadline has been extended to: July 15, 2020
Scholarships will be awarded on a first come, first serve basis.
Please complete the application as soon as possible and return it to:
ESCC FINANCIAL AID OFFICE
29300 LANKFORD HIGHWAY
MELFA, VA 23410
Incomplete applications will not be considered.
ESCC does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and
activities. The following person has been designated to handle inquiries regarding the non-discrimination policies:
Dr. Jeanne Natali, Title IX Coordinator, 29300 Lankford Highway, Melfa, VA 23410; 757.789.1759;
TitleIXCoordinator@es.vccs.edu.
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