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MESALANDS COMMUNITY COLLEGE SCHOLARSHIP/GRANT APPLICATION (Mesalands Community College)

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MCC Scholarship/Grant Application
11/2007 lm
MESALANDS COMMUNITY COLLEGE
SCHOLARSHIP/GRANT APPLICATION
911 South Tenth Street, Tucumcari, NM 88401 (575) 461-4413, Extension 136
Please type or print clearly
Date of Application
I. STUDENT INFORMATION
Student’s Full Name
(First) (MI) (Last)
Student’s Address
(Street) (City) (State) (Zip Code)
Mailing Address
(if different from above)
(Street) (City) (State) (Zip Code)
Date of Birth Social Security Number _____-___-_____
Home Telephone Cellular
For some scholarships, ethnicity is considered in recipient qualifications. If you would
like to be considered for these types of awards, please provide ethnicity.
Ethnicity _______________
I am a New Mexico resident Yes No If yes, what county? ____________
Name of high school attended
Address
(Street) (City) (State) (Zip Code)
Date of High School Graduation ___/___/___ Current High School GPA ______
Plan of Study (Major) ____________________ College GPA ______ (if applicable)
For Office Use Only
Application Number _____
MCC Scholarship/Grant Application
11/2007 lm
II. HONORS, AWARDS AND/OR ACTIVITIES (attach additional pages if necessary)
Scholastic
Extra Curricular
Leadership/Honors
Community/Civic
III. GENERAL
State your educational goals
Have you been granted or do you expect to receive any financial aid?
Attach a short essay to this application outlining why you feel you are in need of
financial aid.
For Office Use Only
Application No. _____ EFC _____ High School GPA _____ College GPA _____
Number of Semester Credits _____ Number of Cumulative Credits _____
Comments__________________________________________________________________________
MCC Scholarship/Grant Application
11/2007 lm
NOTE
Students applying for the Mesalands Community College and Mesalands Community
College Foundation, Inc. scholarships/grants are not guaranteed to be awarded funding.
Scholarship(s)/grant(s) will be awarded by a committee, after all applications have been
reviewed. Students will be notified in writing of any award(s) they will receive. The
scholarship(s)/grant(s) awarded will be divided and applied to both the fall and spring
semesters as long as eligibility is maintained.
Applications should be submitted to the Office of Financial Aid by March 31. Applications
will be accepted after this date; however, the committee will only review late applications
based on the availability of funds.
All information supplied on this application is true to the best of my knowledge.
Student Signature ___________________________________ Date ____________
Student’s Printed Name ______________________________
** DID YOU REMEMBER TO ATTACH YOUR ESSAY? **
For Office Use Only
Application Number _______
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MESALANDS COMMUNITY COLLEGE SCHOLARSHIPGRANT APPLICATION (Mesalands Community College)

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Completed 26 July 2020

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