P.E.O.!Chapter!AY!Scholarship!
$500!divided!between!fall!&!spring!semesters!
($250!each)!for!tuition,!books!equipment,!etc.!
Application!Requirements:!
• Female
• Non!–!traditional!student!–!someone!who!has!gone!back!to!college!after
dropping!out
• A!second!semester!or!beyond!student!at!CCC
• Carry!a!minimum!of!9!hours
• Grade!point!average!of!2.5!or!higher
Deadline:!!May!31
st
!2018- send all of the information needed to chapterayscholarship@gmail.com
Information!Needed:!
• Digital Transcript Copy - emailed with application
• Fill out information below and save - send this document as a PDF
• References may not be family members
No!transfer!of!monies!will!be!made!until!Chapter!AY!receives!an!acceptance/thank!
you!note.!Monies!will!be!directly!deposited!into!student’s!college!!
account!by!the!designee!of!P.E.O.!Chapter!AY!to!CCC.!
First!Name:_________________________________!!!!Last!Name:!_________________________________!!
Address:___________________________________!City/State:____________________!Zip:____________!
Cell!Phone:_____________________________!e-mail:_____________________________________________!
I!will!be!attending!CCC!as!a!(Freshman,!Sophomore,!Junior!or!Senior):___________!
Student!I.D.!Number:___________________________________!
Reference!#!1!Name:____________________________________Relationship:___________________!
Phone!number:_________________________!!!!e-mail:!_________________________________!
Reference!#!2!Name:____________________________________Relationship:___________________!
Phone!number:_________________________!!!!e-mail:!_________________________________!