CONTINUING EDUCATION AND WORKFORCE SOLUTIONS SCHOLARSHIP
SCHOLARSHIP APPLICATION
(Print Neatly or Type in Application)
Date of Application: Semester: ☐Fall ☐Spring ☐Summer
Name of Course: Course Start Date:
Name: Social Security #:
Mailing Address: City: State: Zip:
Telephone: Email:
Place of Employment: Hours Worked Per Week:
High School Attended: High School Graduation Date:
College Major: College Hours Completed (include other colleges):
College Cumulative GPA (include other colleges):
Other colleges or universities attended and dates attended:
Are you currently enrolled at BPCC? ☐ Yes ☐ No
Program/Certification of Study: When will you complete program at BPCC?
List any other type(s) of financial aid or scholarships that you are currently receiving, or plan to receive:
Note: Student must not be receiving any other type of financial assistance to qualify for this scholarship
and must be in good standing with Bossier Parish Community College.
REQUIRED WITH THIS APPLICATION: The following documents must be attached with this application.
1. A copy of student’s current school or state issued I.D.
2. A one-page letter, which explains the circumstances surrounding the requested
funding.
3. Reference letter from one of the following: employer, teacher, etc.
4. Continuing Education Registration form with the requested course filled in.
To my knowledge, all of the above information is true as indicated. If selected to receive the Continuing
Education and Workforce Solutions Scholarship, I agree to abide by the terms and conditions of the scholarship.
Applicant’s Signature: Date:
For consideration, all required documents must be received in the Workforce Development and Continuing Education
office two weeks prior to the course date of the program you are submitting the scholarship request for.
For details on this scholarship, visit: www.bpcc.edu/continuingeducation/scholarships.html
Scholarship Application and support documents can be mailed, emailed or faxed as follows:
BPCC Workforce Development & Continuing Education
ATTN: Kathy DeWitt
6220 East Texas Street, Building D-134
Bossier City, LA 71111
Email: kdewitt@bpcc.edu
Fax: (318) 678-6406
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