Fillable SECU Scholarship Application 19-20

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SECU Scholarship Application 19-20

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Country of origin: US
File type: PDF

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Application 2019-2020
College: Guilford Technical Community College
Applicant's Full Name
Address
Phone
Email
Gender
NC National Guard
Female
Unemployed/Under-
Underserved Population
employed adult
Workforce Area
Military Vet. Or Spouse
Male
Requested Courses
1
2
3
How would you have funded the courses if you had not
received the scholarship?
Do you plan to enroll in further training?
If yes, what future training do yo plan to seek?
Please attach the following documents:
Student Bio-Should detail the student's need for the scholarship and how it will help with their education and
vocational goals( Max. one page, 12pt, double-spaced)
Headshot photo. Should be only the applicant in the picture.
Student Consent:
As a condition of the award, I give my consent to the release of my name, biographical statement, and image for
publications written/distributed by the System Office, the local Community College, and/or the State Employees’
Credit Union and its Foundation. As condition of this award, it is my responsibility to notify the College of licensure,
cert
ification and/or job obtainment because of participation in this program. I further consent to be contacted after
completion of my coursework to determine if my participation in the program assisted me in gaining certification
and/or employment. I attest I am not an employee, Board Member, or family member of the State Employees’ Credit
Union or SECU Foundation.
Student signature:
Date:
Name
Phone
Email
College Scholarship
Coordinator
Brittani Cox
336-334-4822 Ext. 50305
bdcox1@gtcc.edu
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SECU Scholarship Application 19-20

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Completed 19 February 2020

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