Dual Credit Scholarship Application

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Dual Credit Scholarship Application Requirements for Ellis County Students
Please note that in addition to the attached scholarship application form, the following documents will be required: 1) A completed Navarro College Dual Credit Application submitted to the Dual Credit Coordinator 2) An official High School Transcript 3) TAKS scores (if applicable) and/or Accuplacer Scores that show eligibility for college classes 4) A typed essay of 300 to 500 words by the student explaining the student’s need for assistance and current educational and career goals 5) Letter of recommendation by high school official 6) Evidence of grade point average of 3.0 on a 4.0 scale 7) SCHOLARSHIPS ARE FOR ONE YEAR – FALL 2013 AND SPRING 2014 SEMESTERS ONLY Incomplete applications and applications without all required paperwork will not be accepted. This scholarship is for Ellis County residents and will pay tuition and fees for one class per semester per student for Fall and Spring Semesters ONLY. These funds will cover one THREE HOUR class. A cumulative college grade point average must be maintained at a 3.0 or better for scholarship renewal. Deadline for Fall 2013: 5:00 P.M. on June 3, 2013 Please submit all documents to: Lynn Pike Navarro College – Waxahachie Campus 1900 John Arden Drive, Waxahachie, TX 75165 Telephone: 972.923.6439 Fax: 972.937.8763 Email: [email protected]
January 4, 2013

Dual Credit Scholarship Application For Ellis County Students
Student Name: ___________________________________ Student Address: __________________________________ City: _________________________________ Home Telephone #_____________________ Current High School Status (Circle One): Date: ___________________________ High School: _____________________ Zip Code: __________

County: _______________

Alternate or Cell Phone # _______________________ Sophomore Junior Senior

Planned Semester and Year of High School Graduation: _______________________________________ Current High School Grade Point Average: ____________ Social Security Number: __________________ E-mail address: ________________________________________________________________________

Father’s Adjusted Gross Income from most current tax return: _________________________________ Mother’s Adjusted Gross Income from most current tax return: ________________________________ If parents are not married to each other, please list Adjusted Gross Income of stepparent (s) from their most current tax return(s):_____________________________________________________ Including yourself how many people are being supported by your family’s income? ___________ Please list any special circumstances that might increase your candidacy base on financial need:

January 4, 2013

What is your intended college major? ___________________________________________________ Where do you hope to attend college after high school graduation? ___________________________ What are you hoping to do with your college degree? _______________________________________ Do you work? ___________________ If yes, how many hours per week?_______________________

Please list all current extra-curricular activities (Note: A separate sheet or resume may be attached):

Please attach your typed essay explaining your need for assistance and current educational and career goals.

*************************************************************************************

I certify that, to the best of my knowledge, all information provided for this scholarship is truthful and correct, and I hereby give permission for this information to be released to the donor or potential donor of this scholarship.

Student Signature

Date:

Printed Name of Parent/Guardian

Signature of Parent/Guardian

Date:

CHECK LIST
Did you remember to sign your completed application and attach the following required information? Ellis County resident: _______ High School Transcript: _____ TAKS Scores: _____ Essay: _______ Letter of Recommendation: ______ Proof of 3.0 GPA:_______ January 4, 2013

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