K:\Foundation\Scholarships\SCHSPONSORFORM.DOC (Revised 10/11)
The recipient should have the qualifications listed below: (circle all that apply)
1. A resident of a particular state, county, area, etc.: Yes No
If yes, please specify:
2. A graduate of a particular high school(s): Yes No G.E.D. acceptable
If yes, please specify:
3. Majoring in a particular program of study: Yes No
If yes, please specify:
4. Have a minimum grade point average or higher on previous academic work: Yes No
If yes, 2.0 (C) 2.5 3.0 (B) 3.5 4.0 (A) no preference
5. Enroll at least: full-time (12+) ¾ time (9-11) ½ time (6-8) no preference
6. Be a: freshman (0-29 credit hrs completed) sophomore (30+ credit hrs completed) no preference
7. Demonstrate financial need: Yes No no preference
8. Attend a particular campus: Alliance Scottsbluff Sidney any
Use of funds: tuition fees books no preference
Unless otherwise specified, WNCC will permit funds to be used for any education-related expenses.
Limitations, if any, placed on the use of funds: If yes, please specify:
Is the scholarship renewable? Yes No
If Yes: Student must reapply each year
Automatically renew scholarship up to ____ semesters if student continues to meet
criteria
Please list any other issues, criteria or important information about this scholarship:
Sponsor signature: Date:
THANK YOU FOR YOUR SUPPORT!
WNCC Foundation Office • 1601 E. 27
th
Street • Scottsbluff, NE 69361
(308) 630-6550 • fax (308) 630-6552
Financial Aid Office use only
No corrections needed
Please correct as indicated
Financial Aid initial Date
click to sign
signature
click to edit
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