Scholarship Application
Before starting this application, we recommend you have the following information on hand:

1. Student 2017 Income
2. Parent 2017 Income

By submitting this application, you authorize the release of your name and other "Directory Information" to the donor of the scholarship for information purposes and to the College or Foundation for publicity purposes (e.g., newspaper, printed and online mediums, and honors/award events).

Stay up-to-date on Financial Aid: You can receive important financial aid reminders, updates, and alerts by text! Simply text "@brccfa" to 81010.

Please be sure to enter an email address below that you check often.

Email address *
Application for this Academic Year: *
General Information
First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
Your answer
City, ST & Zip
Your answer
County of Residence
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Demographic Information
Your answer
Your answer
Marital Status
Are you a single parent?
Are you a Veteran?
Are you the 1st member of your family to go to college?
Total number of people in household
Your answer
Number of family members in College
Your answer
Educational Information
I am a
What is/will be your Program of Study (i.e. major) at BRCC?
Income Information
Student 2017 Total Income From All Sources
Your answer
Parent's 2017 Total Income From All Sources
If you are age 23 or under, not married and have no dependent children, you MUST provide this information. Otherwise, enter $0
Your answer
Work and/or Community Service
Currently Employed
Hours Worked Per Week
Enter 0 if you are not currently employed.
Your answer
Enter "none" if you are not currently employed.
Your answer
List community service activities
Enter "none" if you have not performed any community service.
Your answer
Scholarship Narrative
Briefly explain why you are deserving of a scholarship from BRCC?
Be sure to list any special circumstances the committee should know - e.g. good grades, community involvement, loss of job, recent divorce/separation, high medical bills, etc.
Your answer
Please check the box to acknowledge that you understand the requirements of receiving a scholarship.
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