NCCC Foundation Scholarships

NCCC Foundation Scholarship Common Application

First Name

Middle Name/Initial

Last Name

Personal Email Address

What is your status at North Country?

Current Student (attending now)

Incoming Student (attending next year)

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Please enter your tax filing status:

I file my own taxes and I am not a dependent of another tax filer

I file my own taxes and I am a dependent of another tax filer

I do not file taxes and I am not a dependent of another tax filer

I do not file taxes and I am a dependent of another tax filer

Short answer questions. Each submission should be 150-250 words in length.

Personal Statement of your Educational Plans and Future Goals

Please list your Educational, CoCurricular Activities and Volunteerism demonstrating leadership and teamwork abilities.

Please include statement of your financial need for the scholarship (including the ages of any dependents in your care):

If additional information is specified as a requirement from the list above, please enter that information here:

By submitting this application, I give the Scholarship Committee of North Country Community College Foundation, Inc. permission to:

access my academic and financial records that reside at NCCC
update scholarship underwriters on my academic progress during the term of the scholarship
use the information on this application to possibly apply on my behalf for other available scholarships deemed appropriate

I agree

I do not agree