Fillable Scholarship Application 2019-2020 (North Central Missouri College)

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Scholarship Application 2019-2020 (North Central Missouri College)

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Scholarship Application 2019-2020
For detailed scholarship information visit
https://www.ncmissouri.edu/alumni/scholarship-opportunities/
1. REVIEW/COMPLETE the scholarship application form.
To be eligible, students must be enrolled full-time or in all available hours.
2. SAVE the scholarship application before printing. Notice: form can NOT be edited after being saved.
3. PRINT the completed scholarship application form.
4. SIGN the scholarship application form.
5. SUBMIT the scholarship application form to NCMC Financial Aid:
Mail: 1301 Main St., Trenton, MO 64683 OR Fax: (660) 359-7856
Before completing and submitting this application form, please answer the following questions.
HAVE YOU?
• Completed and submitted an application for admission?
Yes No
• Submitted ALL transcripts and certicates?
Yes No
• Completed and submitted a FAFSA?
Yes No
Priority deadline to submit this scholarship application is April 1, 2019.
NCMC Scholarship applications are reviewed and scholarships are awarded by a scholarship selection committee.
Scholarship recipients will be notied via their student email account with the exception of high school recipients
who will be notied by high school counselors/ocials. Unless otherwise noted, many scholarships are renewable
for a second semester if the recipient maintains full-time status and achieves a 2.5 or higher cumulative GPA.
GENERAL INFORMATION
Last Name Middle Initial First Name
______________________________________________ ___________ ___________________________
Address
_________________________________________________________________________________________
City , State & Zip Code County
___________________________________________________________ __________________________
NCMC Student ID# S
tudent’s Phone #
___________________________ ___________________________________________________________
Did you attend Boy’s/Girls State? Yes No
Are you a Veteran, active member of the military or active member of the Guard/Reserve? Yes No
If yes, please indicate status and branch: Active Veteran Guard/Reserve
Branch: __________________________________________________________________________________
OFFICE USE ONLY
_____ Date Stamped
_____ Marked Recieved PF
_____ Log
_____ Scan
_____ Complete
Reference
Number
EDUCATIONAL BACKGROUND Please select ONE of the six options
I AM CURRENTLY A:
High School Senior
High School Name _______________________________ City ____________________ State _______
High School Graduate Graduation Year __________
High School Name _______________________________ City ____________________ State _______
GED/HiSET Recipient
Home-School Student
Year Completed __________
Year Completed __________
Transfer Student
Freshman 0-29 hours
Sophomore 30+ hours
College Name _________________________________________________________________________
Returning NCMC Student
High School Name _______________________________ City ____________________ State _______
CUMULATIVE GRADE POINT AVERAGE: __________ ACT SCORE: __________
INTENDED DEGREE & AREA OF CONCENTRATION Please Select One of the degrees/certicates below
AA - Associate in Arts Degree/Transfer Degree
Emphasis __________________________________
AAT - Associate in Arts in Teaching Degree
AGS - Associate in General Studies
AS - Associate in Science
AAS - Associate in Applied Science Degree (please select ONE emphasis area below)
Agriculture & Natural Resources
Applied Technology
Behavioral Health Support
Business & Technology
Diagnostic Medical Sonography
Early Childhood Development
Emergency Medical Tech/Paramedic
Fire Science
Computer Science & Information Systems
Criminal Justice
Dental Hygiene
Industrial Technology
Medical Assistant
Medical Laboratory Technician
Certificate (please select ONE emphasis area below)
Accounting & Business Technology
Agriculture Business
Business Management Essentials
Business Technology Essentials
Criminal Justice
Crop Production
Equine Management
Financial Management
Industrial Technology
Industrial Maintenance Skills
Associate Degree Nursing - ADN
Occupational Therapy Assistant
Pharmacy Technician
Physical Therapy Assistant
Radiology Technology
Surgical Technolog
y
Livestock Management
Manufacturing Skills
Practical Nursing - PN
Pharmacy Technician
Sport Management Essentials
Reference
Number
SCHOLARSHIP ESSAY
In 500 words or less, please include the following:
• Briey state your nancial need.
• Indicate your academic goals, including plans for future education, as well as your desired career path.
• List clubs, organizations or volunteer work in which you have been involved in.
• In addition, list any jobs or circumstances which demonstrate your leadership capabilities.
• The review committee wants to know about you. Describe what sets you apart from other applicants.
DO NOT include personal identifying information in the essay. (For example: name, hometown, high school, etc...)
Student Signature ______________________________________________________________
By signing, I conrm the information I’ve provided is accurate, was composed and written by me, and give permission for the
scholarship committee to access and review my academic and nancial records (including, but not limited to: FAFSA, ACT,
GPA, scholastic awards, experience, unmet need, grades, etc.) I also understand that scholarship monies are limited and qual-
ication does not guarantee award. Further, I agree to send a letter of thanks to the donor of any scholarship I may receive
prior to being awarded the money. I understand that if a thank you note is not received by the rst disbursement date of the
term, scholarship award(s) may be reallocated. Scholarships are considered awards and recipient names, excerpts from the
recipient’s scholarship essay and photos may be used in publications.
North Central Missouri College is committed to assuring equal opportunity to all persons and does not discriminate on the basis of race, color, national origin, sex, disability, religion, age, genetic
information, veteran status, marital status, ancestry, gender identity, gender expression, or sexual orientation in its admissions, educational programs, activities, services, or employment practices as
required by law, applicable statutes, and College policy. Sexual harassment, to include sexual violence, is a form of sex discrimination and is prohibited. Inquiries concerning NCMC nondiscrimination
policies should be referred to: Dr. Lenny Klaver, President, Frey Administrative Center, 1301 Main Street, (660)359-3948 x1200, or lklaver@mail.ncmissouri.edu. 10/2019
Reference
Number
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Scholarship Application 2019-2020 (North Central Missouri College)

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Completed 3 February 2021

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