NCMC Scholarship Application

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NCMC Scholarship Application 1. Complete the NCMC Scholarship Application. 2. Print the completed form. 3. Obtain High School Counselor/Official signature (approaching or recent HS graduates) 4. Sign the NCMC Scholarship Application 5. Submit to NCMC by: * Fax (660) 359-7856 * Mail 1301 Main St., Trenton, MO 64683 * Email (as an attachment) scholarships@pirates.ncmissouri.edu The Scholarship Selection Committee reviews all scholarship applications and determines who will be awarded a scholarship(s). For scholarship applications submitted by April 15th, recipients or high school counselors/officials will be notified within the first week of May for recognition at appropriate high school awards ceremonies.

Before completing and submitting this application form, please read the following information carefully. To be considered for a NCMC scholarship, you must: Be admitted as a degree-seeking student, by doing the following: *Complete and submit an Application for Admission to the Admissions Office. Applications are available online at www.ncmissouri.edu. *Have high school transcripts, GED transcripts, or a home-schooled certificate and/or college transcripts on file in the Admissions Office. Don t forget dual credi t transcripts! Complete and submit a 2018-2019 Federal Application for Student Aid (FAFSA) at fafsa.ed.gov Priority deadline to submit this scholarship application is April 15, 2018. GENERAL INFORMATION Last Name Address City, State, Zip Code County NCMC Student ID# Housing Plans: On-Campus Did you attend Boys/Girls State? Yes Are you a Veteran, active member of the military or active member of the Guard/Reserve? If yes, please indicate status and branch: Middle Initial Student s Phone # Yes Off Campus No First Name Active Veteran Guard/Reserve Branch: No NCMC Scholarship Application 2018-2019

EDUCATIONAL BACKGROUND *Please Only Select One of the Options* I am a current High School student or a recent High School graduate. (within the last year) School Name, City & State Grad. Date Cum. GPA: ACT Score Class Rank / This is your high school graduating class rank - estimate if exact is not available. Will you complete the criteria for the A+ schools program before attending NCMC? Yes No Not Sure High School Counselor/Official Signature I am a home school student/graduate or GED recipient. I am a transfer student: Institution Name, City & State Freshman (less than 30 semester hours) OR Sophomore(30 or more semester hours) Graduation Date Degree Cum. GPA I am a returning NCMC undergraduate student. NCMC Cum. GPA First time Freshman (High School/Home School Graduation was more than 1 year ago)

INTENDED DEGREE & AREA OF CONCENTRATION PLEASE CHECK ONE OF THE DEGREE/CERTIFICATE OPTIONS BELOW: AA - Associate in Arts Degree AGS - Associate in General Studies AAT - Associate in Arts in Teaching Degree AAS - Associate in Applied Science Degree (please only select one emphasis area below) Agriculture & Natural Resources Applied Technology Business & Technology Computer Science & Info. Systems Criminal Justice Dental Hygiene Diagnostic Medical Sonography Early Childhood Development Emergency Med Tech/Paramedic Industrial & Energy Systems Tech Medical Assistant Associate Degree Nursing - ADN Occupational Therapy Assistant Paraprofessional & Substitute Teaching Pharmacy Technology Radiology Technology Surgical Technology Certificate (please only select one emphasis area below) Accounting/Business Technology Business Management Essentials Business Technology Essentials Criminal Justice Crop Production Equine Management Industrial & Energy Systems Tech Industrial Maintenance Manufacturing Skills Marketing Management Practical Nursing - PN Pharmacy Technology SCHOLARSHIP ESSAY In essay format of 500 words or less, please include the following: Briefly state your financial 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 really 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...) A few polishing tips! Be THOROUGH - Give yourself adequate time to write your essay. Rushing though it will result in submitting less than your best work; consequently, your application not being selected. BE PRECISE - For every idea you present, make sure you can back it up with examples and specifics. Being too vague or general may demonstrate to the review committee that, while although you have solid ideas, you cannot elaborate on them or did not take the time to do so. TYPE ESSAY ON NEXT PAGE.

Type or paste essay here. Note: Essays exceeding 500 words will be excluded from consideration. By signing below, I confirm the information I ve provided is accurate and give permission for the scholarship committee to access and review my academic and financial records(including, but not limited to: FAFSA information, unmet need, grades, etc.) I also understand that scholarship monies are limited and qualification does not guarantee award. I also 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 first disbursement date of the term, scholarship award(s) may be reallocated. Scholarships are considered awards and recipient names and photos may be used in publications. Student Signature

INSTITUTIONAL SCHOLARSHIPS Board of Trustees Scholarship E2 Education Empowers Scholarship Missouri Boys/Girls State Scholarship New Traditions Scholarship NCMC SCHOLARSHIP OPPORTUNITIES FOUNDATION SCHOLARSHIPS Willis W. Alexander Scholarship Thomas Anthony, M.D. Memorial Scholarship Robert Bailey Memorial Scholarship Elizabeth M. Barton Educational Fund Sherry Carey Memorial Scholarship* Warren and Nanetta Carter Women s Basketball Scholarship Warren and Nanetta Carter Women s Softball Scholarship Church Women United of Grundy County Scholarship Nancy and Peter Trombley Coca-Cola Scholarship Cross Allied Heath Science Scholarship* William and Juanita Denslow Scholarship Jack and Annie Derry Scholarship George and Marguarite Dunn Scholarship Margaret Ellsworth P.E.O. Scholarship Lynn Freeman Scholarship Everett and Hazel Frey Memorial Scholarship Goodin Top AAT Student Award Phil Hauck & Carl and Louise Roda Scholarship Alice Mae Hoffman Scholarship Charles D. Hoffman Scholarship H. F. Hoffman Scholarship Jeanette Hoffman Robison Scholarship Charles and Virginia Holmes (Rotary) Scholarship Lloyd and Margaret Ketcham Scholarship Ray Lymer Scholarship The NCMC Foundation Knowledge Fund Allen Moore III and Annie B. Moore Scholarship Harry Patton Memorial Scholarship Christopher P. Raynes Scholarship Thomas and Edna Rehard Scholarship Judge V.C. (Casey) Rose and Dorothy Friedrich Rose Scholarship for Ethics and Good Citizenship C.F. Russell Scholarship Maude K. Ryan Memorial Nursing Scholarship* Patricia Sapko Nursing Scholarship* Evans Schafer Scholarship Millennium +2 Practical Nursing Scholarship Don Sturgis Scholarship Harry F. Sugg Athletic Scholarship VanVactor Nursing Scholarship* VFW Post 919 Scholarship Mark and Rebekah Whitaker Memorial Scholarship WW Pete and Dolores Peery Scholarship Jack N. Young, Mildred M. Young, Noble J. Young and Myra A. Young Scholarship Apart from submitting the NCMC Scholarship Application, additional documentation is required for the following scholarship opportunities to be considered: Paul and Betty Preston Steele Agricultural Scholarship Career Planning Application - developed by National PAS Organization and includes the following: Short and long-term goals Occupational surveys Individual competency goals Training/work experience plan Plan to develop leadership and human relations skills Current resume Specify short and long-term educational and professional goals Vern E. Hurt Memorial Scholarship Career Planning Application - developed by National PAS Organization Short and long-term goals Occupational surveys Individual competency goals Training/work experience plan Plan to develop leadership and human relations skills Current resume Specify short and long-term educational and professional goals Allied Health and Science Scholarships Allied Health and Science Application Please contact the Allied Health Department at NCMC to obtain this application. For detailed scholarship information and criteria, please visit the NCMC website. 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