CSCU CARES ACT WORKFORCE DEVELOPMENT PROGRAMS
Scholarship Application
Applicant and or their families must be impacted financially by COVID-19
Student Name: Student ID#: @
Address:
City, State, Zip Code:
Phone#: Number of dependents:
Please check one: married single divorced widowed separated
E-mail:
Annual Income:
Please explain how COVID-19 impacted you financially (unemployed, underemployed); attach another
page if necessary
Student signature
Date
Approved Denied (reason)
CRN# Program Title:
Dean’s Signature:
Date