SCC Scholarship Application for School Year

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http://web1vm.southcentral.edu/machformsscc/view.php?id=410532 SCC Scholarship Application for 2018-2019 School Year Submission deadline is Friday, March 2, 2018 at 11:45pm 1 2 3 Student Info About Yourself Work Experiences 4 Designated Scholarships 5 Required Acknowledgements Helpful hints for submitting an application: Provide specific examples as answers to the questions - Help the selection committee understand who you are and want to be. - It is OK to share any hardships - use it as a way to show your character and determination. - Share your successes - be proud of what you have already done. Scholarship awards will be given on the basis of scholastic achievement, demonstrated character, activities in school/community, work experience (current/past) as well as the technical merit of your application. Proof your responses for proper spelling, grammar and no slang. Complete all of the questions. All required fields are marked with an * symbol. If a question does not apply use N/A. Seek professional references who can evaluate you positively. If you'd like to preview all the questions in this application view our question reference PDF Contact Information Student ID# (current students only): 1 of 3 2/16/18, 8:34 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532 Legal Name * First Middle Last Address * Street Address Address Line 2 Select a State City Postal / Zip Code State / Province / Region United States Country Your Email Address: * Phone * ### - - ### #### Birth & Residence Birth Date * / / MM DD YYYY Country of Permanent Residence * High School Name or GED * 2 of 3 2/16/18, 8:34 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532 SCC Plans What major will you pursue during the upcoming school year? * Second Major (if applicable): Third Major (if applicable): Campus Attending in 2018-2019: * Anticipated date of graduation from South Central College: * / / MM DD YYYY Anticipated Credit Amount (Fall 2018): * Anticipated Credit Amount (Spring 2019) * Anticipated Credit Amount (Fall 2019): * Save my progress and resume later Continue 3 of 3 2/16/18, 8:34 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532&mf_page=2#main_body SCC Scholarship Application for 2018-2019 School Year Submission deadline is Friday, March 2, 2018 at 11:45pm 1 2 3 4 Student Info About Yourself Work Experiences Designated Scholarships 5 Required Acknowledgements Professional References Please provide contact information for individuals who can speak to your academic achievements, work ethic, or civic engagement. A few examples could be a teacher, supervisor, or minister. Family members or friends can NOT be used as a professional reference! Professional Reference 1 Ref. #1 Name First Last Relationship to you: Ref. #1 Email Ref. #1 Phone - - ### ### #### Professional Reference 2 1 of 5 2/16/18, 8:37 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532&mf_page=2#main_body Ref. #2 Name First Last Relationship to you: Ref. #2 Email Ref. #2 Phone - - ### ### #### Tell Us About Yourself Please answer the following questions, highlighting your experience, skills and abilities, to assist in the award selection process. Why did you choose your major? * What are your personal, educational, and career goals? * 2 of 5 2/16/18, 8:37 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532&mf_page=2#main_body Why should you be selected to receive a scholarship? * What else would you like the Scholarship Committee to know about you? * Awards, Honors, and Activities List awards and honors received, school and community activities, and organizations (current or past) in which you have participated or volunteered. Please list the complete organizational name (no acronyms). Also include the years of involvement with activities and your specific role. 3 of 5 2/16/18, 8:37 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532&mf_page=2#main_body Award, Honor, or Activity 1: Maximum of 700 characters allowed. Award, Honor, or Activity 2: Maximum of 700 characters allowed. Award, Honor, or Activity 3: Maximum of 700 characters allowed. Award, Honor, or Activity 4: 4 of 5 2/16/18, 8:37 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532&mf_page=2#main_body Maximum of 700 characters allowed. Save my progress and resume later Continue Previous 5 of 5 2/16/18, 8:37 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532&mf_page=3#main_body SCC Scholarship Application for 2018-2019 School Year Submission deadline is Friday, March 2, 2018 at 11:45pm 1 2 3 4 Student Info About Yourself Work Experiences Designated Scholarships 5 Required Acknowledgements Work Experiences Please answer the following questions about your current and past work experience. Begin with the most recent at the top. If you have no work history to share, please highlight any relevant volunteer experiences. Employer & City #1 Dates of Employment (month/year) Describe your work experience and what you learned as an employee Employer & City #2 1 of 3 2/16/18, 8:37 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532&mf_page=3#main_body Dates of Employment Describe your work experience and what you learned as an employee Employer & City #3 Dates of Employment Describe your work experience and what you learned as an employee Save my progress and resume later Continue Previous 2 of 3 2/16/18, 8:37 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532&mf_page=4#main_body SCC Scholarship Application for 2018-2019 School Year Submission deadline is Friday, March 2, 2018 at 11:45pm 1 2 3 4 5 Student Info About Yourself Work Experiences Designated Scholarships Required Acknowledgements Designated Scholarships Completing the following information may allow you to be considered for certain designated scholarships. You are encouraged to answer the following questions. In addition, having a completed FAFSA (Free Application for Federal Student Aid) form on file with the Financial Aid office at South Central College is strongly encouraged, as it may increase your eligibility for certain scholarships. Presidential Scholarship You must currently be a high school senior only and have a cumulative 3.75 GPA. Your most recent high school transcript must be on file at SCC. Please consider me for the Presidential Scholarship Utility Provider Scholarship Check provider(s) names to be considered for Utility Provider Scholarships. Who provides service to you? BENCO CenterPoint Energy Enventis (HickoryTech) Steele-Waseca Coop 1 of 3 2/16/18, 8:38 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532&mf_page=4#main_body Xcel Energy Unknown Provider Other Single Parent Scholarships Answer the following questions to be consider for the single parent scholarship. Are you the child of a single parent? Yes No Are you a single parent? Yes No Alumni Scholarship Answer the following questions to be consider for the alumni scholarships. Have you or your family member(s) graduated from this college? Nontraditional Student Scholarship Answer the following questions to be consider for the Nontraditional student scholarships. Are you entering or returning to college as an independent adult age 24 or over? * Do you have any special circumstances, personal, financial, educational, family-related, medical or 2 of 3 2/16/18, 8:38 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532&mf_page=4#main_body disability that we should consider when reviewing this application? Please feel free to include additional information regarding your nontraditional student status. Veteran's Scholarship Answer the following questions to be consider for the Veteran's scholarships. Are you currently serving in the armed forces or an honorably discharged veteran? Are you the child of a veteran or an individual currently serving in the armed forces? Save my progress and resume later Continue Previous 3 of 3 2/16/18, 8:38 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532&mf_page=5#main_body SCC Scholarship Application for 2018-2019 School Year Submission deadline is Friday, March 2, 2018 at 11:45pm 1 2 3 4 5 Student Info About Yourself Work Experiences Designated Scholarships Required Acknowledgements Required Academic Information & Acknowledgements By submitting this application, I certify that I am the applicant and not a family member or friend completing this application. South Central College is asking you to provide private information in order to process your application. This information will be used to update your academic record. You are not legally required to provide this information; however, the college may not be able to effectively process your request if you do not provide sufficient information. Access to this information will be limited to SCC officials (including faculty) and the scholarship selection committee (which includes community members). Under certain circumstances, federal and state laws authorize release of private information without consent; to local officials for purposes of program compliance audit or evaluation; as appropriate in connection with your application for, or receipt of financial aid; if the information is sought with a court order or subpoena; or as otherwise permitted by other state of federal law. I understand that my scholarship award will be used to attend South Central College. We proudly recognize our scholarship recipients with at a scholarship appreciation luncheon. The tentative date for the Faribault Campus is April 23, 2018 and the North Mankato Campus is Thursday, September 6th at 5:00 p.m. I have tentatively saved the date to attend on my calendar, to ensure I can attend, if I am selected. If I am awarded a scholarship, I understand my name and photo may be used on SCC's website, publications and/or foundation publications in addition to SCC's papers of record: (Mankato Free Press and the Faribault Daily News) and other hometown newspapers unless I have signed the Authorization to Release Student Information form on file with the SCC Student Affairs Office. Acknowledgement: By checking the box below you (the student named in this application) confirm that the information provided represents your identity and that the contents of the application were authored by you. Agreement * 1 of 2 2/16/18, 8:38 AM

http://web1vm.southcentral.edu/machformsscc/view.php?id=410532&mf_page=5#main_body Yes, I agree Warning! Once this form is submitted, you can not return to make changes. Save my progress and resume later Submit Previous 2 of 2 2/16/18, 8:38 AM