North Carolina Community Colleges
2020-2021 Student General Application
Instructions: Complete this application and return the completed application to your
Aid Office. Please read the eligibility requirements of the scholarship for which you are applying. Also,
make certain to list the scholarship you are applying for on the application below. Otherwise, you may not
be considered. Please return completed to the Financial Aid Office.
Part A. Scholarship Name Applying for: _________________________________________________
Part B. Personal Information:
Full Name: _________________________________________________________________________
Home Address: ______________________________________________________________________
City, State, Zip Code: __________________________________________________________________
E-Mail Address: ______________________________________________________________________
Phone Number: _____________________ Mobile number: ____________________
NC County of residence: _______________________________________________________________
Length of residence in county: ____ less than 5 years ____ 5 10 years ____ more than 10 years
(To be eligible for this scholarship, your permanent residence must be in an approved NC county.)
Part C. Educational Information: (Please Note: Workforce Continuing Education students may not
qualify for all scholarships. Read each scholarship eligibility requirements carefully)
1. College you are attending:
_____________________________________________________________
2. Type of education program in which you are enrolled. Please chose one:
a. ____ Curriculum Student: _____ GPA
Major: _____________________________________________________
b. _____ Occupational Continuing Education Student (must be enrolled in a
credentialing program of at least 96 hours.)
Major: _____________________________________________________
Part D. Additional Information: Please read each scholarship carefully for additions requirements and
documentation.
I have read and understand the requirements for assistance. I hereby declare that the information provided
on this form is complete and correct to the best of my knowledge.
: ____________________________________ Date: ______________
