Fillable Application for Ratcliffe Foundation Scholars 2020-2021 Academic Year (Eastern Shore Community College)

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Application for Ratcliffe Foundation Scholars 2020-2021 Academic Year (Eastern Shore Community College)

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1
Application for Ratcliffe Foundation Scholars
2020-2021 Academic Year
The Ratcliffe Scholars Program benefits students pursuing an
Associate in Applied Science in Technology degree. Priority is given to
students in the trade programs of HVAC, Welding, Electricity, Electronics,
Google IT, Computer Technology, and Industrial Technology. The Ratcliffe
Scholars Program offers stackable credentials with the goal to produce
highly skilled, competent industrial technicians for employment in STEM
related fields. Students who graduate with this degree will qualify for well-
paying high tech positions. Students may also use this program to transfer
to some four-year schools.
Priority will be given to students enrolled in 15 or more credits, and
students must enroll in a minimum of six credits. Ratcliffe Scholars must
complete the Free Application for Federal Student Aid (FAFSA). Students
must use any federal, state, or other financial aid funds first, before
accessing Ratcliffe Scholars Program funding.
Funding in the Ratcliffe Scholars Program may cover tuition and fees,
books, supplies and equipment, internships, technology, plus allowances
for housing, transportation, and other living expenses. Funds may not be
used for personal expenses not related to college attendance, such as
entertainment and/or legal fees. Aid will be awarded on a First Come, First
Served basis. Students must complete the FAFSA and submit the attached
Ratcliffe Scholars Application.
For more information, please contact instructor John Floyd at
jfloyd@es.vccs.edu
2
Application for Ratcliffe Foundation Scholars
2020-2021 Academic Year
Applicant Information
Full Name:
Id#:
Last
First
Address:
Street Address
Apartment/Unit #
State
ZIP Code
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. You are required to complete the 2020-2021 Free Application for Federal Student Aid
(FAFSA).
2. Please attach a statement explaining your work goals, including any plans to pursue
additional training and education beyond ESCC.
3. Circle which of the following program(s) you are interested in:
HVAC Welding Electricity Electronics
Computer Technology Industrial Technology Google IT
3
4. What other support beyond tuition/fees and books/supplies might you need in order to
successfully complete your planned program?
a. Technology:
b. Transportation:
c. Childcare:
d. Other:
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.
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)
Aid will be award on a First Come, First Served basis.
COMPLETED APPLICATIONS SHOULD BE SENT TO:
ESCC FINANCIAL AID OFFICE
29300 LANKFORD HIGHWAY
MELFA, VA 23410
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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Application for Ratcliffe Foundation Scholars 2020-2021 Academic Year (Eastern Shore Community College)

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Completed 4 February 2021

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