SCHOLARSHIP APPLICATION
SECTION 1: SCHOLARSHIP GUIDELINES AND ELIGIBILITY REQUIREMENTS
1. Applicants must reside in Hudson County to be considered for scholarship eligibility.
2. Only new students may apply.
3. Applicants must meet the standard admission requirements set forth by the institution (see
HCCC catalog).
4. Applicants must enroll as a full-time student at Hudson County Community College.
5. Applicants must submit a financial aid application to the college, although it is not a
requirement to submit the form to the state or federal government.
6. Scholarship recipients must maintain a minimum cumulative grade point average of 2.75 to
maintain scholarship eligibility. Should a student’s GPA fall below the minimum requirement,
they will have a one semester grace period to bring the GPA up to the required minimum.
Should the student fail to bring the GPA up to the required minimum at the end of the grace
period, the student will lose their scholarship eligibility.
7. This scholarship may not be applied to prior balances.
SECTION 2: PERSONAL INFORMATION
NAME: ___________________________________________ STUDENT ID: ___________________
ADDRESS: _______________________________________________________________________
CITY, STATE, ZIP: _________________________________________________________________
TELEPHONE: (______) _______ - ____________ E-Mail: __________________________________
DATE OF BIRTH: ______________________________________
SECTION 3: EDUCATIONAL HISTORY
HIGH SCHOOL
*HIGH SCHOOL NAME: _______________________________ GRADUATION DATE: ____________
*If you received a GED, from where did you receive it? ________________________________
HCCC
MAJOR AT HCCC: _____________________________________
GPA: _____________________ EXPECTED GRADUATION DATE: _____________________
*DO YOU PLAN TO TRANSFER TO A FOUR YEAR COLLEGE? ____Yes ____No _____Undecided
If yes, what is the name of the College or University?________________________________________
ARE YOU THE FIRST IN YOUR FAMILY TO ATTEND COLLEGE? ____Yes _____No
SECTION 4: PERSONAL ACHIEVEMENTS/ACCOMPLISHMENTS
High School or College Activities and Involvement (List clubs, athletics, honors, offices held, etc.):
______________________________________________________________________________
______________________________________________________________________________
Volunteer Experiences and Community Activity:
______________________________________________________________________________
______________________________________________________________________________
SECTION 5: FINANCIAL NEED ANALYSIS
Did you file a Free Application for Federal Student Aid (FAFSA)? _____Yes _____No
Are you receiving funds from other scholarships, loans or grants? _____Yes _____No
If yes, give name(s) and amount(s): _________________________________________________
Number of persons in your household? _____Adults _____Children
Are you a single Parent? _____Yes _____ No
Are you employed? _____Yes _____No
If yes, where are you employed? ______________________________________________________
Are you active military or a veteran? ____Yes ____No Military Spouse? _____Yes _____No
Give any additional information to show financial need:
______________________________________________________________________________
______________________________________________________________________________
SECTION 6: PERSONAL GOALS
In 200 words or less, please explain your future goals related to your college degree education:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
SECTION 7: STUDENT RESPONSIBILITIES
Please check each box and sign
I understand that only complete applications submitted by the published deadline will be considered.
I certify that the information given in this application is complete, accurate and true. This application
grants HCCC permission to release any information deemed appropriate for use in advertising, printed
materials, news releases, correspondence with donors, or other legitimate use deemed proper
including, but not limited to grades, success stories, photographs, biographies, etc.
STUDENT SIGNATURE _________________________________________ DATE __________
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