Fillable Mitchell Community College Scholarship Application (Mitchell Community College)

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Mitchell Community College Scholarship Application (Mitchell Community College)

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MCC-186 Equal Opportunity College/Affirmative Action Employer Revised 04/18
2018-2019
Mitchell Community College Scholarship Application
Priority Date: May 31, 2018
SCHOLARSHIPS: Each student applying for a Mitchell Community College scholarship is required to complete a FAFSA
(Free Application for Federal Student Aid) and the Mitchell Scholarship Application. The College will consider all applicants
for available scholarships. A 2.0 GPA or higher, and enrollment in nine or more credit hours at Mitchell are required for
most scholarships. Scholarships set up by outside donors will be awarded to students based on donor’s criteria.
PLEASE PRINT LEGIBLY AND RESPOND TO EACH ITEM (Please use ink pen.)
Last Name __________________________________ First Name ____________________________________ Middle Name ___________________
Address _______________________________________________________________________________________ Phone ___________________________
Street City State Zip
Student ID# _____________________ Iredell County Resident
Yes Major at Mitchell: ____________________________________
If majoring in the nursing program, have you been accepted into the clinical portion of the nursing program?
Yes
If graduated, or plan to graduate from an Iredell County High School, check appropriate high school:
North Iredell
Yes South Iredell
Yes West Iredell
Yes Statesville Senior High
Yes
Mooresville Senior High
Yes Lake Norman
Yes Year Graduated __________
Have you attended Mitchell Community College previously?
Yes
If yes, number of hours completed _______________ Cumulative GPA: _______________
Check your planned enrollment status: Full-time
Yes Part-time
Yes
SCHOLARSHIP AWARD INFORMATION (REQUIRED)
Please describe your career objectives and how this scholarship will assist you with meeting these goals. Please
also list any extracurricular involvement, including athletics, as well as any honors or awards received to assist in
evaluating your application for scholarships. Please include information if you or an immediate family member has
been directly affected by cancer, or if you plan to work in the field of cancer patient care. THIS SECTION MUST BE
COMPLETED IF YOU ARE APPLYING FOR SCHOLARSHIPS. (You may attach additional sheets if necessary.)
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MCC-186 Equal Opportunity College/Affirmative Action Employer Revised 04/18
SCHOLARSHIP AWARD INFORMATION (cont.)
Mitchell Community College has a variety of scholarships available for students. Some of them have specific criteria. In order
to determine your eligibility for these scholarships, please check Yes if any apply to you.
Do you plan to transfer to a 4-year college or university and major in one of the following?
History Yes Political Science Yes Library Science Yes
Elementary Education Yes Teaching Yes
Are you currently enrolled in an online course?
Yes
Are you an adopted child, foster child, or have you lived in a group home?
Yes
Are you a descendent of one of the following? (Check all that apply):
Elizabeth Hill
Yes Harvey Murdock
Yes Jesse Tilden Davis
Yes
George A. Scott
Yes Are you a cousin or family member of Jane Shaw Myers?
Yes
Does one or more of the following sources pay any portion of your tuition, fees, or books?
Employment Security Commission
Yes TAA (Trade Adjustment Assistance—ESC)
Yes
Other
Yes Please list _________________________________________________________________________
Are you, your spouse, or one of your parents employed by the City of Statesville? Yes
If yes, list the employee’s name __________________________________________________________________________________________________________
Are you a child or grandchild of a Mitchell College or Mitchell Community College graduate?
Yes
Name of Graduate____________________________________________________Year graduated___________
Are you a descendant of a Davis Hospital School of Nursing graduate?
Yes
Name of Graduate____________________________________________________Year graduated___________
Are you a child of an L. Gordon Iron & Metal Company?
Yes
If yes, parent name _______________________________________________________________________________________________________________________
Are you a child of an employee of Rental Uniform Services?
Yes
If yes, name of family member employed _______________________________________________________________________________________________
Are you an active member of the SGA, or an active member of a Mitchell Community College club?
Yes
Are you a member, or an immediate family member, of the Cool Spring Fire Department, or the Iredell County Rescue Squad?
Yes
If an immediate family member, member’s name _______________________________________________________________________________________
Are you a member, or an immediate family member, of the Statesville branch of the NAACP?
Yes
If an immediate family member, member’s name _______________________________________________________________________________________
Are you a Marine, child, grandchild, or great-grandchild of a Marine?
Yes (Please provide copy of DD214.)
If direct descendent, Marine’s name _____________________________________________________________________________________________________
Are you receiving any other scholarships?
Yes If yes, Please list the name and amount of the scholarship(s) you have been awarded
for 2018-2019: Name _____________________________________ Amount $___________________
Name _____________________________________ Amount $___________________
Scholarship information may be released for publicity. Mitchell Community College awards financial aid without regard to race,
ethnicity, religion, sex, age, disability, or national origin.
Student Signature ______________________________________________________ Date _____________________________________________________________
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Completed 26 July 2020

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