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Foundation Scholarship Application

Submission Deadline: April 1, 2012 by 4:30 p.m. CST

Fall 2012/Spring 2013 Awards

The SCC Foundation is proud to assist deserving students enrolling at Southeastern Community College through the generosity of local businesses, professional associations, and individuals. Donors determine the criteria for their scholarships, thus eligibility requirements vary. The Scholarship Selection Committee strives to match each applicant's eligibility with possible scholarship opportunities. All awards are based on the availability of funds. Most awards are credited toward the recipient's tuition at SCC. In some cases, books, required course supplies, and other expenses are allowable. Current recipients may be eligible for continuation awards, but must submit a new application, meet specific cumulative grade point averages (2.0 for Freshmen and 2.2 for Sophomores, unless otherwise stated by a specific scholarship) and continue to meet designated scholarship criteria. Applications must be complete to receive consideration (i.e. Transcripts, FAFSA SAR Report and two reference letters (min.) must be submitted to the Foundation Office by the stated deadline.)

Other important information - Please Read:

  • Valedictorians and Salutatorians from accredited Iowa, Illinois and Missouri High Schools receive FREE Iowa tuition and books if enrolling at SCC. (see SCC Admissions Office for details).
  • To be eligible for second semester and second year renewal awards, SCC Freshmen must achieve a 2.0 term GPA and SCC Sophomores must maintain a 2.2 cumulative GPA, unless otherwise stated by a specific scholarship.
  • Preference WILL be given to students with reference letters attached to their applications (assists in decision-making); some of our scholarships require them. For details refer to Item #11 and the list of SCC Foundation scholarships as well.
  • Carl Sandburg College students are eligible to apply for scholarships through both SCC and CSC. SCC awards to CSC students may be limited to books.
  • Southeastern Community College was recently awarded a $558,000 grant from the National Science Foundation (NSF) to be used to fund student scholarships over the next five years for academically talented, financially needy students. The NSF S-STEM grant will fund need-based scholarships for tuition, fees, books, and other allowable expenses for qualifying students who pursue careers in Electronics Technology, Drafting Technology, Precision Machining and Pre-Engineering while enrolled at Southeastern Community College. Students who are beginning a two year program will be given first consideration.
  • For NSF Stem scholarship consideration, applications must be complete to receive consideration. That is, students must:
    • Have completed Algebra (or higher) and one Lab Science course by the time of enrollment at SCC,
    • Be eligible for federal financial aid (FAFSA) and provide to the SCC Foundation a copy of the FAFSA SAR Report,
    • Provide the Foundation Office a transcript which shows a minimum cumulative GPA of 3.0, and
    • Provide the Foundation Office two reference letters.

Please complete this application accurately and thoroughly. Any item left blank could result in loss of consideration.

Mail a copy of your High School Transcript and your most recent College Transcript to the SCC Foundation Office.

Social Security #/SCC ID#:
Last Name:
Maiden/Other:
First:
M.I.:
Street/P.O. Box:
City:
County:
State:
Zip Code:
Telephone:
E-mail address:

Apply for admissions now.

1. I have completed and submitted an SCC admissions application:
Yes No  Date Submitted:  

2. To help determine my eligibility for specific scholarships, I MUST indicate here whether I plan to pursue the following college programs or careers (Read the list first, then select one):
Other or Education- Teaching/Admin. Field:

 Alternate Program (Read the list first, then select one):

3. While at SCC, I intend to participate in the following SCC sport:

4.  My GED Average Score (if applicable) is:
     Testing Location:
     Date/Year of GED graduation:

5. I am graduating from or have graduated from one of the following High Schools in (enter the year) :
Other:

6. I understand that I must complete a FAFSA to be considered for scholarships that assist students with financial need. (Note: March 1 is the recommended deadline for mailing or filing FAFSA.)

Complete the application online at the FAFSA website.
SCC institutional code = 004603

I have completed and mailed my FAFSA SAR Report to the Foundation Office, and indicated on the form that SCC is one of the schools of my choice
YES NO

I will provide the Foundation Office with a copy of my FAFSA SAR Report showing EFC number.
YES NO

Because the NSF S-STEM scholarship is a need-based award, I will call 319.208.5013 to arrange a meeting with the SCC Financial Aid Officer to complete my financial aid package.
YES NO

7.  Some Foundation scholarships have preferences for people who meet specific criteria. (check ALL that apply to you.) In the next semester, I:

am a current SCC Foundation scholarship recipient seeking continuation funding and/or additional assistance
am enrolling or enrolled at the West Burlington Campus
am enrolling or enrolled at the Keokuk Campus
am enrolling or enrolled at the Mt. Pleasant Center
am enrolling or enrolled at the Fort Madison Center
will be a 1st year student at SCC (have completed 0-28 credit hours) or am beginning a two-year program of study at SCC [for NSF STEM scholarship]
will be a 2nd year student or greater at SCC (have completed 29+ credit hours)
am a Male
am a Female
am Hispanic
am a certified firefighter (paid and volunteer are eligible) or am seeking certification for firefighter and/or paramedic/EMT
am an employee or a child of an employee of Catfish Bend (name of Catfish Bend employee: )
am a child, ward, stepchild, or grandchild of an active, retired or deceased Case/New Holland(CNH) employee and enrolling full-time(name of relative who is current or former employee of Case/New Holland Corp(CNH)).: )
am a family member of a US Military soldier or veteran(name of US Military soldier or veteran: )
am a family member of a Golden Eagle Distributing Company employee (name of employee: )
am a child, stepchild or legal ward of a half-time or greater employee of Southeastern Community College and enrolling full-time(name of SCC employee: )
am a former Iowa DOC inmate or immediate family member thereof (To be eligible for this $500 Iowa State Penitentiary Kiddie Korner Scholarship, please indicate your relationship with the inmate:) self father mother brother sister daughter son husband wife
am a citizen of the U.S. [Jones/Stewart] [NSF STEM]
am an international student (a non-U.S. citizen) [Tallarico]
have held leadership roles in an organization, association or business (I will provide 2 reference letters regarding my leadership and/or good citizenship). Complete questions 10 and 11.
have been or am involved in extracurricular activities (must complete question 10 below to demonstrate).
am a minority, single mother with children in school (through college age) that I am supporting
am a non-traditional age person; age 24 years or older [Arledge, Bresch]
am a non-traditional age female; age 24 or older,with a 3.0 cumulative GPA [AAUW Keokuk]
have completed or will have completed Algebra I or higher and one lab science course by the time I enroll in the two-year progarm at SCC [NSF STEM]
earned at least a 3.0 High School cumulative GPA and am an academic achiever (transcripts mailed as proof)[Stein]
earned at least a 2.0 High School cumulative GPA (transcripts mailed as proof)[Stevens]
struggle academically in school but I am motivated to learn (transcripts and reference letters mailed)
am a current Missouri resident [McKee, SEIPC, MVC]
am a Carl Sandburg College student (be aware that CSC students are eligible for Illinois and CSC scholarships, too; SCCF awards may be used for books only)
will have a FULL-time job while attending school(Employer: ) [Yohe, Loghry]
will have a PART-time job while attending school(Employer: ) [Yohe]
plan to complete a minimum of 75 hours of volunteer service while enrolled in at least 12 credit hours each semester [Hanke]
am an Eagle Scout [Hanke]
am enrolled/enrolling in:
12+ credit hours (FT)
9-11 credit hours (3/4)
6-8 credit hours (HT)
1-5 credit hours (PT) 		during the semester beginning -
Fall 2012
Spring 2013
Summer 2013
am transferring to complete a BA or BS in Nursing after graduating from SCC [Bresch]
am transferring to complete a BA or BS in Industrial Tech., Tech. Mgmt., Mfg. Eng. Tech., or Electrical Eng. after graduating from SCC [Bresch]
am a dependent child of or a current customer of Alliant Energy
currently work in a nursing home or a long term care facility or have in the last 6 months. [Dame]
am a Phi Theta Kappa member.
am applying for a Phi Theta Kappa membership fee award.
am enrolled in a Dual Credit Program earning high school and SCC credit at the same time.
am a single mother. [Lawson, Loghry]
am a Career Academy student in a local K-12 system
am pursuing a career in literature and will provide a portfolio of works to demonstrate my talents [Holsteen, Paule]
will submit (minimum) 2 letters of reference
am pursuing a career in literature, may include the study and writing of poetry, drama, or prose. I will submit a sample of written prose or poetry or a resume of credits in dramatic arts production by the stated application deadline. [Holsteen, Paule]
intend to pursue a career in Electronics Technology, Drafting Technology, Precision Machining or Pre-Engineering while enrolled at SCC [NSF STEM]
intend to pursue a Bachelors Degree in Science, Technology, Engineering or Mathematics after graduating from SCC [Stone STEM]


8. My career goal is:
Here's how a Foundation scholarship will assist me in meeting my life's goals (provide a written statement):


9. What is motivating you to go into your field of choice? (Note: You may also be asked to complete several essay questions if you are deemed eligible to compete for the NSF Stem scholarship.)


10. High School/College curricular/extracurricular/community activities in which I have participated (provide a list)
(If N/A then please enter "none"):


11. The following describes my active participation in community service/leadership/citizenship activities (e.g., chairman or president, club member, volunteer, etc.) - (provide a list or written statement)
(If N/A then please enter "none"):


12. I understand that the Foundation requires at least two general reference letters (helps the committee decide).
Note 1: Scholarships listed below have additional specifications for reference letters and/or supplemental materials. Please see SCC Foundation scholarship list for details.
Note 2: Reference letters are usually requested from current or former employers and teachers, counselors, neighbors, friends, and associates - but usually NOT from relatives.
Questions? View a reference letter template.

I wish to be considered for one or more of these scholarships, and I must be eligible to be considered - (see scholarship list for eligibility details) Thus I will comply with the following reference letter requirements:
Check all that apply.
Ruth Gulden Holsteen and Charles Sophus Holsteen Memorial and Laurine Paule Scholarship (2 reference letters from teachers or professionals in Literature or a related field and a portfolio of works to demonstrate my talents)
Helen Jones/ F.L. Stewart (2 reference letters regarding good citizenship)
Nancy Neafie Memorial (2 reference letters from instructors, employers or business associates) to demonstrate my academic abilities
Fine Arts (2 reference letters from persons qualified to judge talent in Fine Arts Music, Art, Graphic Arts, Drama/Theatre)
Anthony Tallarico Memorial (2 reference letters demonstrating leadership or achievements)
Burlington Kiwanis (2 reference letters demonstrating ability, interest and motivation to succeed in his/her chosen field)
Higher Education Association (2 reference letters from SCC faculty and required essay)
 HEA Scholarship essay requirements can be found here.
Kathi Mertens Chemical Dependency Memorial (2 reference letters from SCC faculty and required essay)
 Kathy Mertens Scholarship essay requirements can be found here.
STEM Scholarship (2 reference letters, copy of high school transcripts showing you have completed Algebra I or higher and one lab science course)


12. READ THIS SECTION BEFORE SUBMITTING THE APPLICATION:
  1. I declare that the information on this application form is true and accurate to the best of my knowledge.
  2. Required/Mandatory Submission: I will submit my FAFSA SAR Report to the Foundation office by the Foundation Scholarship application deadline.
  3. I understand that a Scholarship Committee or others will determine the scholarship(s) for which I am eligible based on the information included in and mailed for this application.
  4. If I am awarded a scholarship, I hereby authorize the SCC Foundation to use my name in news releases or publications, and I will submit a thank you letter to the SCC Foundation Office to be shared with the donor and possibly for promotional purposes.
  5. If I do not complete a full semester of study at SCC and receive a refund, I will reimburse the SCC Foundation a portion of the refund proportionate to my scholarship award.
  6. If I do not maintain satisfactory progress, I may be ineligible to receive the next semester or next year award unless I submit an appeal letter and receive approval for the award to be reinstated.
  7. I am eligible to apply for continuation or renewal scholarships only if I maintain the specified scholarship eligibility requirements.
  8. Required/Mandatory Submission for High School students: I will submit to the Foundation office an ORIGINAL High School transcript that includes at least 7 semesters of grades or my GED scores by the stated deadline.
  9. Required/Mandatory Submission: I will submit to the Foundation office an ORIGINAL transcript from my last educational institution (High School or College) by the deadline.
  10. I will mail 2 reference letters (Reference letters must be received in the Foundation office by the application deadline).
  11. For NSF Stem Scholarship Applicants: I understand that I must have and maintain a miniumum GPA of 3.0.


Note: For applications submitted via the Internet, all required supplemental materials must be mailed and received by the Foundation Office by the scholarship application deadline.



Send supplemental materials to:
Southeastern Community College Foundation
Julie Glasgow
1500 W. Agency Road, P.O. Box 180
West Burlington, Iowa 52655-0180

Questions? Call 319.208.5062 or toll free at 866.722.4692, ext. 5062.
E-mail: jglasgow@scciowa.edu

The SCC Foundation does not discriminate on the basis of age, ancestry, color, ethnicity, gender, marital status, national origin, physical disability, race, religious creed, or sexual orientation.

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