Please complete the application in its entirety and return to
PCC’s Assistant VP of Student Support, Jasmin Spain in
Vernon White, Room 115 (252-493-7211). Please note
additional documentation is required to be included for the
application to be considered complete.
G.S. 115D-39 “(c) In addition, a person sponsored under this subsection who is lawfully admitted to the United States is eligible for the State resident community
college tuition rate. For purposes of this subsection, a North Carolina nonprofit entity is a charitable or religious corporation as defined in G.S. 55A-1-40 that is
incorporated in North Carolina and that is exempt from taxation under section 501(c)(3) of the Internal Revenue Code, or a civic league incorporated in North
Carolina under Chapter 55A of the General Statutes that is exempt from taxation under section 501(c)(4) of the Internal Revenue Code. A nonresident of the United
States is sponsored by a North Carolina nonprofit entity if the student resides in North Carolina while attending the community college and the North Carolina
nonprofit entity provides a signed affidavit to the community college verifying that the entity accepts financial responsibility for the student's tuition and any other
required educational fees. Any North Carolina nonprofit entity that sponsors a nonresident of the United States under this subsection may sponsor no more than five
nonresident students annually under this subsection. This subsection does not make a person a resident of North Carolina for any other purpose.”
Name of Nonprofit Organization _______________________________________________________________________________
Address ___________________________________________________________________________________________________
City _______________________________________________________ State _____ Zip Code _________________________
Contact Person ______________________________________________________________________________________________
Phone Number ____________________________________ Email Address __________________________________________
Please provide the following documentation for non-profit entity verification:
o Copy of entity’s federal tax identification number or IRS designation of NC Nonprofit status
Tax ID Number: _______________________________________________
o Copy of the entity’s articles of incorporation
If a non-profit organization wishes to sponsor a student, the following procedures should be followed. The North
Carolina non-profit entity sponsoring a student is required to:
1. Complete the above application and submit the application and required documentation to the Assistant Vice
President of Student Support, Jasmin Spain. The application only needs to be completed once. Please note: The
Non-Profit Entity must be an incorporated business that is listed on the NC Secretary of State’s website and
include the Business Registration listing. Documented proof from the NC Secretary of State of this incorporated
business must be submitted with this Nonprofit Entity Sponsorship from.
2. Provide the Assistant VP, Jasmin Spain, with a letter on the organization stationery stating that the North
Carolina non-profit entity accepts financial responsibility for the student’s tuition and other required educational
fees two weeks prior to the
payment due date. (Student should contact the Cashier’s Office for exact amount of
the tuition). Note: Each non-profit entity may sponsor up to five lawfully admitted individuals each the academic
year. A letter is needed each semester and the student’s name should be stated in the letter along with the
semester and year.
3. Payment should be made using a check bearing the printed name of the sponsorship organization. Students
cannot make payments if they have a sponsor. *Note: To avoid being dropped from courses for non-payment, it
is the students’ responsibility to have required documentation submitted 2 weeks prior to the payment due
date.
_____________________________________________________ ______________________________________
Signature Date
North Carolina Nonprofit Entity
Sponsorship Application
For PCC Official Use Only
______________________________ ___________
Jasmin Spain, Asst. VP Date
_____Approved _____Denied
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signature
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(Effective 07/13/2020)