2021-22 Scholarship Application
This scholarship application will be valid for students who enroll in the Fall 2021, Spring 2022, and Summer 2022 semesters.
Please only submit a scholarship application once per academic year.
Priority deadline for Northeast Iowa Community College scholarship application is April 1.
Applications will also be reviewed in July and November.
All applicants will be notified of their award status by mail within 30 days of the submission deadline.
Scholarship awards are determined based on your qualifications and how those qualifications may relate to a specific scholarship's criteria as well as the quality of the application's responses. Please review your application before submission by carefully checking the spelling, grammar and quality of content. You may receive assistance at the Writing Center on either campus.
For the most up-to-date listing of scholarships, please visit
www.nicc.edu/scholarships
.
* Required
Email address
*
Your email
Student ID number (can be found in Self-Service on your Unofficial Transcript, Award Letter or on your Student Finance Statement)
Your answer
Today's Date.
*
MM
/
DD
/
YYYY
First Name
*
Your answer
Middle Initial
*
Your answer
Last Name
*
Your answer
Date of Birth. (mm/dd/yyyy)
*
MM
/
DD
/
YYYY
Address. (City, State, Zip)
*
Your answer
Phone Number. (xxx-xxx-xxxx)
Your answer
Campus Location.
Calmar
Peosta
Online Only
Program of Study.
Your answer
High School attended.
Your answer
High School graduation date. (mm/yyyy)
Your answer
Most recent cumulative GPA.
Your answer
Please check all that apply.
Have financial need
Solely responsible for paying for my education
Single parent
Unemployed
Received a High School Equivalency Diploma (HSED)
Have a documented disability
Dupaco Community Credit Union member
Family of a Bruening Rock Products employee
Family of a Woodward Communications employee
Family Member employed at Mercy Medical Center
Veteran
Spouse or child of Veteran
Active-Duty Military member
Spouse or child of Active-Duty Military member
Why are you deserving of this scholarship?
*
Your answer
What are your educational goals and how will they help you reach your career goals?
*
Your answer
Describe your financial need situation.
*
Your answer
Please list all leadership or community activities that you were or are currently involved in? These activities may include extra-curricular, volunteer, clubs and associations and family commitments.
*
Your answer
Questions?
If you have any questions, please contact the Advancement Office.
844.642.2338, ext. 1474
Email us at
foundation@nicc.edu
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of Northeast Iowa Community College.
Report Abuse
Forms
