Scholarship Application

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2017-2018 Scholarship Application TO APPLY: COMPLETE AND SUBMIT ENTIRE SCHOLARSHIP PACKET. You only have to complete one application and will be considered for ALL scholarships you are qualified to receive. Please use this checklist to ensure that you submit a COMPLETE scholarship packet. This checklist is for your use and does not need to be submitted with your application. The completed scholarship packet must contain: Application. The application is accessible through the Southeastern Technical College website. The entire form, including the statement of need, must be completed in order to be accepted. The application should be typed. Southeastern Technical College acceptance letter or proof of registration (class schedule) for the 2017 Fall Semester. An official high school or most recent college transcript (can be printed from BannerWeb). Two letters of recommendation from a non-family member, of which only one can be from an STC or high school faculty/staff person. Each letter should be on letterhead, signed, and address the applicant s character and academic performance and/or community service. The completed scholarship packet (application, acceptance letter/proof of registration, letters of reference, and transcript) must be received by deadline, no exceptions. Only a COMPLETE scholarship packet will be accepted. Incomplete packets will not be eligible for a scholarship and will not be reviewed by the committee. Completed scholarship packet (application, acceptance letter/proof of registration, letters of reference, and transcript) can be mailed or hand delivered to: Charla Nail, Executive Director for Institutional Advancement Southeastern Technical College 3001 East First Street, Rm 127 Vidalia, GA 30474

APPLICATION AND INFORMATION RELEASE STATEMENT The information provided in this application is, to the best of my knowledge, complete and accurate. I understand that false statements on this application will disqualify me from receiving a scholarship from the Southeastern Technical College Foundation, Inc. I understand that: The Southeastern Technical College Foundation, Inc., a 501(c)3 organization, administers scholarship monies that do not require repayment to qualifying students. Applications are reviewed and selected by the scholarship committee, and its decision is final. Southeastern Technical College does not discriminate on the basis of race, color, creed, national or ethnic origin, gender, religion, disability, age, political affiliation or belief, veteran status, or citizenship status (except in those special circumstances permitted or mandated by law). The following individuals have been designated to coordinate the College s implementation of nondiscrimination policies: Dr. Barry Dotson, Vice President for Student Affairs, 3001 East First Street, Room 158-A, Vidalia, GA 30474, 912-538-3141, bdotson@southeasterntech.edu. Scholarships will be awarded based on submission of completed application packet, applicant s character, financial need, applicant s goals, and availability of funds. Incomplete application packets will not be eligible for consideration. All applicants will be notified in writing regarding the status of their application. Scholarship funding is to defray the cost of all or part of tuition and fees; required items listed on syllabi; certification fees; review course fees; licensure exam fees; and transportation expenses. Although I may have applied for more than one scholarship, I will only be awarded one. In order to apply for a scholarship, I must possess a high school diploma or G.E.D. In order to receive a scholarship, I must be enrolled full-time (a minimum of 12 credit hours per semester) in a certificate, diploma or degree program at Southeastern Technical College for the length of the scholarship unless applying for a Certificate Program Scholarship. See Scholarship Definitions for the award level required for each scholarship. If I change program areas and/or award levels at any time, my scholarship may be revoked. In the event that I cease enrollment for more than one semester, do not maintain full-time enrollment status, and/or fail to maintain the required cumulative GPA, scholarship funding will be forfeited. If awarded a scholarship, I must present proof of registration for the upcoming semester and grades from the previous semester in order to receive my scholarship check. If I receive a scholarship, I must maintain the minimum cumulative GPA required for the scholarship that I received. I must adhere to the STC Student Code of Conduct and promote good citizenship in my behavior. Failure to follow the established Code of Conduct may jeopardize my ability to receive funds. By checking the box below, I understand and agree with the statements in the application and instructions, and I assure all statements and documents are true. I agree Signature Date I authorize the Southeastern Technical College Foundation, Inc., to use my name and/or photo in media releases or newsletters. I authorize the release and exchange of information between the Southeastern Technical College Foundation, Inc., and Southeastern Technical College for the purpose of obtaining information for the verification of the scholarship application, updating addresses, and/or acquiring phone numbers.

SOUTHEASTERN TECHNICAL COLLEGE FOUNDATION, INC. Scholarship Application Please type and be sure to complete all sections. If a section or question does not apply, please write N/A. PERSONAL INFORMATION 1. Full Name: 2. STC Student ID Number: 3. Address: Street or P.O. Box County City Zip 4. Phone: Home Phone Work Phone Cell Phone 5. Email: 6. Have you previously applied for a scholarship through the Southeastern Technical College Foundation? Yes No If yes, were you awarded a scholarship? Yes No 7. Cumulative Grade Point Average (GPA) 8. Will you be receiving any financial assistance? Yes No (Will be verified by Financial Aid Department) If yes, please check all that apply (indicate amount): Family/Spouse/Parents $ PELL $ Hope $ Other $ EDUCATIONAL INFORMATION 1. Program of Study: 2. Campus: Vidalia Swainsboro Online (circle one) 3. Current Semester Course Load (Credit Hours) 4. Expected Completion Date: 5. Professional/Career Goal(s): 3

6. List from most recent all schools attended beyond middle school. Please provide degrees/diplomas/certificates earned. School Name Dates Attended Graduated Yes/No Date Anticipated Degree/Diploma Certificate 7. List the top 5, most important school-related activities for which you are currently or have been actively involved (in the last year). When listing activities, be sure to include offices held, team captain, years of involvement, etc. A. Scholastic Activities: (Honor Society, Scholastic Teams, Student/Leadership Council, etc) B. Extracurricular Activities: (School Clubs, Athletics, etc.) C. Awards, Recognitions, and Honors: OCCUPATIONAL INFORMATION 1. List all jobs you have held in the last 3 years starting with the most recent. If you held different positions with the same employer, be sure to list each separately. Include selfemployment, work study, and internships. Employer Position Full or Part Time Hrs/Week Dates Employed 4

2. Describe any family/home obligations and responsibilities you may have. 3. If you have not been enrolled in school or employed in the past two (2) years, please note what you have been doing. OTHER INFORMATION 1. List all community service, volunteer activities, and religious activities you have participated in over the past 2 years. Organization/Church Name Dates From m/y to m/y Hours Logged Activity 2. List your hobbies and recreational interests. 3. List any awards, recognitions, and honors received not associated with school. ESSAY (STATEMENT OF NEED) In 400 words or less, address why you wish to further your education, what experiences have influenced this decision, any financial difficulties or personal responsibilities, and how this scholarship will benefit or help you achieve your educational goal(s). The statement of need should be typed on a separate sheet of paper and attached to this application. 5