Iowa Central Scholarship Application Form

Please read carefully before filling out the application below. It is important to know the following:

* Select the center you plan to attend: Valid

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* Semester you are applying for: Valid

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* Year you are applying for: 20 Valid

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* Are you considered... Valid

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* Names of Foundation, Athletic and/or Merit Scholarships you are applying for:
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* First Name: Valid

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* Last Name: Valid

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Middle Initial:

Maiden or Other:

* Birthdate: Valid

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* Phone:

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* Permanent Street Address: Valid

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* Permanent City: Valid

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* Permanent County: Valid

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* Permanent State: Valid

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* Permanent Zip Code: Valid

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Local Street Address:

Local City:

Local County:

Local State:

Local Zip Code:

* Email:

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* Proposed college major: Valid

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* Have you filed a FAFSA? Valid

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* Are you a returning Iowa Central student? Please select an item.

* Explain how a scholarship will help you financially? Feel free to share any unusual circumstances.

Explain any school, church, community, or volunteer activities in which you have participated.

List any honor(s) or special recognition(s) you have received.

List work experiences and dates of employment.

If you are a non-traditional student, age 21 or older, please share your experiences between high school and now.

Please indicate the activities and/or athletics you plan to participate in:

Athletic Manager
Cheerleading (Co-Ed)
Livestock Judging
Music-Instrumental
Music-Vocal

Newspaper (Collegian)
Student Ambassador
Student Government
Theatre

* High School: Valid

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* High School City: Valid

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* High School State: Valid

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* Graduation Year: Valid

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High School GPA:

Class Rank:

If returning or transferring please enter your cumulative GPA:

Attachments

The total size of the files below cannot exceed more than 50MB

Letter of Recommendation #1: (optional)
Letter of Recommendation #2: (optional)
Letter of Recommendation #3: (optional)
Essay: (if required and/or optional)

By checking this box I certify that all the information above is correct and will serve as my electronic signature.
Valid You must check the box to continue.

By checking this box, I acknowledge that all awarded Foundation scholarships are to be used for my tuition and fees at Iowa Central Community College and not another institution or use unless explicitly specified.
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You must fill out the reCaptcha below to continue!

It is the policy of the Iowa Central Community College not to discriminate in its programs, activities, or employment on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, and actual or potential family, parental, or marital status.

If you have questions or complaints related to compliance with this policy, please contact Stacy Ihrig, Human Resources, 515-574-1138, ihrig@iowacentral.edu, or the Director of the Office for Civil Rights U.S. Department of Education, Citigroup Center, 500 W. Madison Street, Suite 1475, Chicago, IL 60661-7204, Telephone: (312) 730-1560 Facsimile: (312) 730-1576, Email: OCR.Chicago@ed.gov.