Corporate & Continuing Education
Scholarship Application
All completed applications must be sent to the York Technical College Foundation for the CCE Scholarship Committee to
review. Please send complete applications to: York Technical College Foundation
452 S. Anderson Rd
Rock Hill, SC 29730
ATTN: CCE Scholarships
Scholarship for which you are applying (select one): Chester Healthcare Foundation Scholarship
Duke Energy Utility Line Worker Program Scholarship
Touchstone Energy Utili
ty
Line Worker Program Scholarship
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Veterans Scholarships Forever
Please type or print clearly.
Name:
Address:
City, State, Zip:
Preferred Telephone:
Email:
Date of Birth:
Marital Status: □ Single □ Married □ Divorced
□ Widowed
High School Status (select one): □ Diploma Graduate
□ Still in High School
□ Did not graduate □ GED Recipient
Veteran Status: □ Veteran □ Veteran Spouse □ Active Military transitioning out of active duty within 6 months
Optional Information: Gender: □ Male □ Female
Race/Ethnicity:
Can you present evidence that you are a Veteran, the spouse of a Veteran, and/or
active military personnel that will be transitioning out of active duty within 6 months?
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Yes □ No
CC
E Program in which you intendto enroll:
Amount owed to York Technical College: $
Will you receive funding from an employer, any branch of the Armed Services, or
other organizations for tuition, fees, or books/supplies?
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Yes □ No
If yes, what percentage (or amount) of total tuition, fees, or books/supplies will be paid?
Scholarship amount requested: $
Employment: Please note any current or future employment you expect to maintain while attending York Technical College.
Awards and Recognition: Please note any special awards or recognitions you have received through academic,
extracurricular, or community sources.
Short Answer – on a separate sheet of paper, please explain why you should be considered for this scholarship.
I certify that the information I have supplied is true and correct to the best of my knowledge I will abide by the conditions of the scholarship as
stipulated by the donor and the York Technical College Foundation I realize that if the required documentation is not supplied, I will not be
considered for this scholarship I give permission, in accordance with FERPA (Family Educational Rights and Privacy Act), to York Technical
College to provide biographical and academic information to the donor during the scholarship award year. I will provide a letter of gratitude to the
York Technical College Foundation within 10 days of notification of selection for the scholarship award (please submit thank you notes to
the attention of York Technical College Foundation, 452 S. Anderson Rd, Rock Hill, SC 29730). If I do not enroll or complete the course/
program, the scholarship will be revoked and I am subject to charges by York Technical College.
York Technical College does not discriminate on the basis of age, sex, race, religion, veteran status, national origin, or disability in its educational
programs, activities, or employment policies.
I have read and understand the eligibility requirements and commitment association with acceptance of this award.
Applicant signature: Date:
York Technical College Foundation Corporate & Continuing Education Scholarship Application
Revised 02/18
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