Fillable North Carolina Community Colleges Golden LEAF Scholars Program (Wayne Community College)

Fill Online, Printable, Fillable, Blank North Carolina Community Colleges Golden LEAF Scholars Program (Wayne Community College) Form

Use Fill to complete blank online WAYNE COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

North Carolina Community Colleges Golden LEAF Scholars Program (Wayne Community College)

On average this form takes 7 minutes to complete

The North Carolina Community Colleges Golden LEAF Scholars Program (Wayne Community College) form is 2 pages long and contains:

  • 0 signatures
  • 20 check-boxes
  • 20 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Wayne Community College

BROWSE WAYNE COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
North Carolina Community Colleges
Golden LEAF Scholars Program – Two-Year Colleges
2019-20 Student Application
Instructions: Complete this application and return the completed application to the college’s Financial
Aid Office. Occupational Education students must also submit a copy of their transcript with the
application.
Personal Information:
Full Name: __________________________________________________________________________
Social Security Number: _______________________________________________________________
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.)
Educational Information:
College you are attending: _____________________________________________________________
____ Occupational Continuing Education Student (must be enrolled in a credentialing program of at least
96 hours.)
Program you are enrolled in: _____________________________________________________
____ Curriculum Student: _____ GPA _____1
st
semester _____ not enrolled
Program you are enrolled in: _____________________________________________________
Other Information:
Have members of your immediate family worked for or owned a farming or agricultural related business
now or in the past? ____ yes ____ no
Have you or members of your immediate family been employed in traditional industries such as furniture,
textiles, or tobacco manufacturing? ____ yes ____ no
Has anyone in your household lost their job in the past two years? ____ yes ____no
Has anyone in your household transitioned from a full-time job to a part-time job? ____ yes ____ no
Please list all campus and community service activities you are currently involved in.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Use of Funds:
____ Tuition ____ Fees ____ Books ____ Supplies ____ Credentialing Exams
____ *Childcare _____ *Transportation
(* Students using funds for childcare and/or transportation purposes are asked to sign the statement(s)
below.)
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.
_______________________________________ ____________
Applicant’s Signature Date
Please return the completed application to the college’s Financial Aid Office.
Use of childcare funds statement: If selected for funding from the Golden LEAF Scholars Program –
Two-Year Colleges, I certify that scholarship funds designated for childcare will be used exclusively while
I am attending class in order to fulfill my educational requirements.
_______________________________________ ____________
Applicant’s Signature Date
Use of transportation funds statement: If selected for funding from the Golden LEAF Scholars
Program – Two-Year Colleges, I certify that scholarship funds designated for transportation will be used
exclusively for the purpose of supporting my travel to and from the college where I am enrolled for
educational purposes.
_______________________________________ ____________
Applicant’s Signature Date
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

North Carolina Community Colleges Golden LEAF Scholars Program (Wayne Community College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 26 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document