First Name
City
Other Phone
2020-2021 ECC FOUNDATION SCHOLARSHIP APPLICATION
On a separate piece of paper, preferably typed, please answer each of the following questions:
1. What are your educational goals and values?
2. Explain why you should receive a scholarship and how you will benet from receiving a scholarship.
What is your level of nancial need?
3. Why did you select ECC? What are the contributions (e.g., community service, volunteer activities,
family responsibilities) you have made or plan to make to the college and the larger community?
Attach responses to questions and one letter of support. (The letter is a positive statement about the
student's academic and/or personal qualities and the student's likelihood for future success.)
Submit to: Financial Aid & Scholarships Ofce, Building B, Room B156,
Elgin Community College, 1700 Spartan Drive, Elgin, IL 60123
Scholarship awards ar
e based on the review and evaluation of complete applications. Scholarships are awarded on a rst-come, rst-served basis.
Each student who completes the application process will be notied of the results via the email address provided on the application.
Please respond to every question, even if the answer is not applicable (N/A). Please print.
Last Name _________________________________________________________ __________________________________________ Middle Initial _______________
___________________ ECC Student ID or Social Security # ________________________________ Date of Birth ______________________ Birthplace (State/Country)
If you don’t have an ECC ID or SSN, enter N/A.
Email Address _______________________________________________________________________________________________________________________________________________
_____________________________________________________ ______________________________________
____________________________________________
______________________________________________
Street Address State ___________ __________________ ZIP
Cell Phone
Sex
Female Male
Gender Identity
Female
Male Agender
Androgyne Demigender Genderqueer or Gender Fluid
Identity Not Listed Questioning or Unsure Trans Man Trans Woman Choose Not to Respond
Marital Status
Single Married Single Parent
Ethnicity (Optional) African-American/Non-Hispanic White/Non-Hispanic Asian/Pacic Islander
Hispanic
American Indian/Alaskan Native Other
Check One_____
U.S. Citizen Permanent Resident DACA
Visa Holder
Visa Type ___________________________________________________________
Other _______________________________________________________ Are you an international student?
Yes No
Are you a military veteran? Yes No
Is one of y
our parents or siblings an ECC alumnus? Yes No
High School
_______________________________________________________________________ Graduation Date
________________ GED
®
/High School Equivalency
Academic Status New Student Current/Returning Student Dual Credit (
Dual enrollment in high school and ECC) Non-Credit
Please check all that apply.
What is your major/area of interest? _______________________________________________________________________________________________________________________
Will you enroll full time during the 2020-2021 school year? Yes No For how many credit hours will you enroll each semester?
______________
Do you plan to transfer to a four-y
ear institution during the 2020-2021 school year? Yes
No If yes, indicate last semester at ECC. __________
Have you completed a FAFSA?
Yes No (FAFSA can be completed online at fafsa.gov. Not required for most ECC Foundation scholarships.)
Do you currently work with anyone in the Disability Services Ofce? Yes
No
Are you planning to enroll in the study abroad program during the 2020-2021 school year?
Yes No
Are you involved in ECC sports or clubs? Please list:
_______________________________________________________________________________________________________
I certify that all information I hav
e provided in this application is true to the best of my knowledge. I understand the scholarship committee may condentially
review any information I submit to the ECC Financial Aid and Scholarships Ofce. If I am awarded a scholarship, I agree to release my name, image, and
relevant information for public announcements, newspaper articles, college marketing, and other promotional uses.
Signature _______________________________________________________________________________________________ Date _____________________________________________
Information subject to change. 5434/MW/20190807
