B. Section to be filled out by student
Financial status of your family for last year (please check one)
● _____ Under $15,000
● _____ $15,000 - $25,000
● _____ $25,000 - $40,000
● _____ Over $60,000
Number of people in your household _______
Please write a short paragraph explaining why obtaining a High School Equivalency Certificate is
important to you.
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Acknowledgement Statement
I _____________________ understand that the voucher(s) is/are to be used for the HiSET® only.
The vouchers will be awarded one subtest at a time and on a first-come, first-served basis to eligible
students. No more than two vouchers may be used on a test date. In the event that I need to
reschedule my test, it is my responsibility to make these arrangements 24 hours in advance with the
testing service. If I fail to attend a scheduled test appointment, my voucher will be void, and I will be
disqualified from applying for a future Santiago Canyon College Continuing Education HiSET®
Scholarship. Scholarships must be approved.
Signature of student applicant: ___________________________________ Date: ____________
Approval/Signature of SCC-OEC Dean: ____________________________ Date: ____________