Richmond Community College Scholarship Application 2017-2018
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First Name
(First only)
Your answer
Middle Name
(Middle only)
Your answer
Last Name
(Last only)
Your answer
RCC Student Identification Number
Or last four digits of the Social Security Number
Your answer
Email Address
RCC Email Address Preferred for Current RCC Students
Your answer
Mailing Address
Your answer
City
Your answer
County
Your answer
State
Your answer
Zip Code
Your answer
Street Address
Your answer
City
Your answer
County
Your answer
State
Your answer
Zip Code
Your answer
Working Telephone Number (Home)
Your answer
Working Telephone Number (cell or work)
Your answer
Date of Birth
(Month, Day, Year)
Your answer
Are you a legal resident of the United States?
Required
Are you a North Carolina resident?
Required
Are you currently a high school student?
Required
Do you plan to take advantage of the RichmondCC Guarantee?
The RichmondCC Guarantee qualifies you for two years of free tuition at Richmond Community College if you meet the following criteria: You must be a resident of Richmond or Scotland Counties. You must have graduated from high school within the past academic year with a 3.0 or above. You must have successfully completed at least 2 Career and College Promise courses during your high school career.
How did you earn your high school (or equivalent)?
Required
Are you currently enrolled as a college student at Richmond Community College?
Required
If you are currently enrolled as a college student at RCC, how many credit hours are you taking?
Required
Have you received Financial Aid from RCC or RCC Foundation in the past academic year?
Check all that apply
Have you completed LESS THAN 24 credit hours at the college level?
Required
If you have taken more than 24 credit hours at RCC, which of the following classes have you taken?
Please check all that apply
Required
Have you ever received a grade lower than a C while enrolled at Richmond Community College?
Note: This and all answers will be verified by Student Services. If you answer yes, you may still be eligible for scholarships
Required
Have you ever been suspended, expelled or placed on academic probation while enrolled at Richmond Community College?
Required
What is your intended major or program of study?
Required
What is your specific major?
Required
Please list the name and address and telephone number of a personal or employer reference that is NOT a relative.
Your answer
Please list the name and address and telephone number of a different personal or employer reference that is NOT a relative
Your answer
Are you a customer, employee or an immediate family member of a customer or an employee of the Ellerbe Telephone Company?
Are you employed by or have an immediate family member that is employed by Richmond County first responders such as EMS, Fire, Rescue or Police?
Are you, a parent, grandparent or spouse a member or employee of Carolina Farm Credit?
Are you an employee of the CSX System, child of an employee, or a dislocated employee from CSX?
If yes, what is your relationship?
(Mother, Father, sibling, self)
Your answer
Are you or an immediate family member employed at Hwy 55 Restaurant?
Are you or your family a member of Pee Dee Electric Membership Cooperative?
Are you an employee or a family member of an employee of the City of Hamlet?
Are you an employee or a dependent of an employee of Unimin Corporation?
Are you or your parents currently employed at a textile industry?
If yes, what is the name of the company?
Your answer
Were you or a family member (living or deceased) ever employed in the textile industry?
Are you or your parents a graduate of Rohanen High School?
Did you pass the 9th grade at Ellerbe Junior High School or 8th grade if you attended after Ellerbe Junior High was converted to Ellerbe Middle School?
Are you an employee or dependent of an employee of Vulcan Materials Company?
Are you an employee or an immediate family member of an employee of Morrison Correctional Institution?
Are you a displaced/dislocated worker?
In general, a person may be considered a dislocated worker if he or she: is receiving unemployment benefits due to being laid off or losing a job and is unlikely to return to a previous occupation; has been laid off or received a lay-off notice from a job; was self-employed but is now unemployed due to economic conditions or natural disaster; is the spouse of an active duty member of the Armed Forces and has experienced a loss of employment because of relocating due to permanent change in duty station; is the spouse of an active duty member of the Armed Forces and is a displaced homemaker (as described below); or is a displaced homemaker. A displaced homemaker is generally a person who previously provided unpaid services to the family (for example: a stay-at-home mom or dad), is no longer supported by the spouse, is unemployed or underemployed, and is having trouble finding or upgrading employment. Except for the spouse of an active duty member of the Armed Forces, if a person quits work, generally he or she is not considered a dislocated worker even if, for example, the person is receiving unemployment benefits.
If yes, what is the name of your former employer?
Your answer
Are you a single mother?
Have you taken and completed history courses at Richmond Community College?
If yes, list the courses and the grades you earned.
Your answer
Do you plan to continue your education after completing your degree at RCC?
If yes, what college do you plan to attend and what major or field of study so you plan to pursue?
Your answer
If you are married, is your spouse presently employed?
If your spouse is employed, please indicate the name of the employer.
Your answer
If you reported your parent's income information on your FAFSA, are your parent(s)/guardians employed?
Where are your parent(s)/guardians employed?
Name of the company or companies
Your answer
Are you currently employed in law enforcement in Richmond County?
Are you a graduate of a Basic Law Enforcement Training program?
This applies to the RCC BLET program or other equivalent BLET programs.
Why did you decide to attend RCC?
Your answer
Why have you selected your current area of study?
Your answer
Describe your short-term and long-term career goals.
Your answer
Describe your extracurricular activities.
This can include work experience, church activities, military or volunteer work.
Your answer
Are you employed?
If Yes, where do you work and approximately how many hours do you put in per week?
Your answer
Have you submitted a Working Scholarship application through the RCC Financial Aid office?
Have you completed a current FAFSA Application? If not, one must be completed before this application will be considered.
Required
By signing this, I give permission for the members of the RCC Financial Aid Committee to review my transcript and to review any financial information on file in the financial aid office. I attest that all information provided is truthful and accurate. I agree to provide a signed letter of recommendation from an Instructor or employer. I agree to write a thank you note to the donor of my scholarship or the RCC Foundation. I acknowledge that I will be invited to attend the annual scholarship banquet to meet the donor of my scholarship. Attendance at the banquet is mandatory. The date and time will be announced.
Your answer
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