Fillable I Have a Dream Award Application for Curriculum (Durham Technical Community College)

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I Have a Dream Award Application for Curriculum (Durham Technical Community College)

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Country of origin: US
File type: PDF

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I Have a Dream Award Application for Curriculum Students
First Name: ________________________________ Last Name: ___________________________ MI_______
Durham Tech Student ID: ________________________ Date of Birth ____________________
Street Address: ______________________________________________________________________________
City: _____________________ State _____________ Zip ___________________
Email: _____________________________________ Phone: ______________________
What program/course(s) are you enrolled in for spring 2019? _________________________________________
Are you currently enrolled in a minimum of 6 credit hours of curriculum courses? ☐ Yes ☐ No
Have you previously completed a minimum of 9 credit hours of curriculum courses? ☐ Yes ☐ No
What is your current GPA? ________________
Please list all financial aid you are receiving or plan to receive (grants, loans, scholarships, tuition waivers,
veteran’s benefits, or other) ____________________________________________________________________
Please explain your financial need and how will this scholarship help you meet your goals:
Please describe any volunteer work, extracurricular activities, or other ways in which you have been involved in
your community: ____________________________________________________________________________
Revised 10/2019
Personal Essay:
In approximately 500 words, choose a quote by Dr. Martin Luther King, Jr. and explain how that quote guides
you in achieving your dream to complete your education and career goals. Please write your essay in a separate
document and attach with your completed application.
Certification:
I certify that the information in this application is complete and accurate to the best of my knowledge. I
authorize Durham Technical Community College (Durham Tech) and the Durham Tech Foundation to access my
personal and education records at Durham Tech. If I receive the award, I understand that I must continue to
meet the eligibility criteria for my award to receive additional disbursement of funds.
If awarded, I agree to participate in the Friday, January 18, 2020 MLK Employee Luncheon and read a portion of
my essay. I understand that my name and information for my academic history may be released to the MLK
Award Selection Committee and the donor(s).
If I am selected to receive an award, I release to Durham Tech and the Durham Tech Foundation the right to
arrange a meeting with me and the donor(s) and to use my name, information, and picture for printed
materials, reports, and press releases.
Signature _______________________________________________ Date _______________________
Email completed application form and personal essays to MLK Award Selection Committee
or
address the application packet to MLK Award and deliver it to the Durham Tech Duke Street North
Campus, 3404 North Duke Street, Durham, front desk by Friday, December 6.
Revised 10/2019
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I Have a Dream Award Application for Curriculum (Durham Technical Community College)

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Completed 1 October 2020

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