Fillable NCSEC Uapplication (Carteret Community College)

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NCSEC Uapplication (Carteret Community College)

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The NCSEC Uapplication (Carteret Community College) form is 2 pages long and contains:

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  • 24 check-boxes
  • 33 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Carteret Community College

BROWSE CARTERET COMMUNITY COLLEGE FORMS

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Carteret Community College
Corporation and Community Education Division
NC State Employee Credit Foundation
Scholarship Application
1. I am a US Citizen and a resident of North Carolina
2. I am in the following target groups for this scholarship:
a. Unemployment insurance claimant
b. Unemployed
c. Underemployed – earning 200% below the poverty level.
d. Member of the National Guard or military veteran or spouse
3. I do not have access to other financial assistance to pay for this training.
4. I am enrolled in a short-term training program that leads to a state-regulated or industry recognized credential that is
offered through Continuing Education.
5. I am not a Director, employee, or family member of an employee of the State Employee’s Credit Union or SECU
Foundation.
Program of Study :_________________________________________________
Please attach program information sheet to this application. You can get the program information sheet from the
coordinator of the program.
As a condition of receiving financial assistance from the State Employee’s Credit Union Foundation Scholarship,
participants must give permission for us to take a photo and also a bio (taken from your comments in the Statement of
Need Section of this application) for reporting and/or marketing. Are you willing to do so? ____Yes ____No
________________________________________________________ __________________________________
Last Name First Name MI Last 4 of SS#
_____________________________________________________________________________________________
Address (include apt. #) City State Zip
_________________________ M F __(____)____________________(____)_____________
Date of Birth Phone Number Cell Number
Are you a United States Citizen? ____ Yes ____ No Are you a resident of North Carolina? ____ Yes ____ No
Please Indicate Race: White ___ Black _____ Indian ____ Hispanic _____ Asian _____
In which county do you reside? _________________________ Do you have a High School Diploma or GED? ___Yes ___ No
Do you have a college degree? ____ Yes ____ No If yes, what is your degree? ________________________________
Please list any training you have completed after high school: ______________________________________________
________________________________________________________________________________________________
B. Program Information
C. Student Information
A. Eligibility Requirements
28
Are you a director, employee or family member of an employee with the State Employee’s Credit Union? ___Yes ___No
Are you employed? Please check any that apply:
____Unemployed, getting unemployment benefits
____Unemployed, not getting unemployment benefits.
If chose this option, why are you not eligible for unemployment benefits? ___________________________________
____Underemployed – individuals earning at/below 200% of the federal poverty level (see attached)
____Military Veteran
____Member of the NC National Guard
Please list the last two jobs you have held:
1. Company Name: _______________________________________________________________________
Location: _____________________________________________________________________________
Last Date of Employment: ________________________Reason for Leaving________________________
2. Company Name: _______________________________________________________________________
Location: _____________________________________________________________________________
Last Date of Employment: ________________________Reason for Leaving________________________
Please write an explanation how a State Employee’s Credit Union Foundation Scholarship could benefit your education.
Why do you need this scholarship?
After you complete this training, what do you plan to do with the skills you learned?
What impact will this scholarship have on you and/or your family?
Why did you chose to pursue this particular area of training?
What do you hope to be doing in 5 years?
I hereby declare that the information provided on this form is complete and correct to the best of my knowledge.
_________________________________________________________
Student Name (Printed)
_________________________________________________________ ___________________________
Student Signature Date
_________________________________________________________ ___________________________
Coordinator Date
C. Sign this Application
D. Statement of Need
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NCSEC Uapplication (Carteret Community College)

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Completed 26 July 2020

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