NCC Scholarship Application

* Last Name:	* First Name	* Middle Name:

* Mailing Address:

* City/State/Zip:

* County:	Your email address:

* Phone:

* Do you give permission to the scholarship committee to examine your high school transcript?
Yes No
* Do you give permission to the scholarship committee to examine your college transcript?
Yes No
* What is your high school cumulative GPA?
* GED average score?
* NCC cumulative grade point average?
* Other college/university cumulative GPA?
In which NCC program are you currently enrolled or will you start?


* How many semesters have you completed at NCC? (Put "N/A" if not applicable)
* High school you graduated from
* Graduation date
* List clubs, organizational activities, special interests, any special honors, and community involvement:

I wish to be included for the following scholarship opportunities listed below:
GENERAL: Academic Achievement Scholarship President's Scholarship Foundation Scholarship Trustees Scholarship Border State Student Scholarship Carl H. Rolf Scholarship for Leaders Entre Prep Scholarship Student Government Association/Foundation Scholarship C-S Agrow Service Scholarship Gordon R. Jurrens Memorial Scholarship HTC Communications Scholarship Iowa Academic Decathlon Scholarship Iowa State Bank Scholarship Link Manufacturing Ltd. Scholarship Maintainer Corporation of Iowa, Inc. Scholarship Pamela R. Kreykes Memorial Scholarship Pella Rolscreen Scholarship Premier Bank Scholarship Sheldon Kiwanis Scholarship Sibley State Bank Scholarship United Fund Lucile Woods Tuition Scholarship Vogel Paint Scholarship Wolff, Whorley, De Hoogh, & Schreurs Armed Services Scholarship
BIO TECHNOLOGY : Full tuition & fees Half tuition & fees Open to any student Part-time student
BUSINESS: Cain, Ellsworth & Co., LLC Accounting Scholarship Eilders Endowed Accounting Scholarship
HEALTH: Alpha Evenson Memorial Nursing Scholarship American Cancer Society Health Scholarship Emma R. Miller Scholarship Hartley Community Memorial Health Center Scholarship Hegg Memorial Hospital Scholarship Lu Vella C. Burnett Health Scholarship Marcia Tracy Memorial Nursing Scholarship Orange City Health System Scholarship Osceola Community Hospital Scholarship Sanford Sheldon Medical Center Scholarship Sioux Center Community Hospital and Health Center Scholarship
TRADE & TECHNOLOGIES: Ag Processing, Inc. Scholarship Alliant Energy Scholarship Associated General Contractors of Iowa Heavy Equipment Scholarship Bill Franey Memorial Powerline Scholarship Corn Belt Power Cooperative Scholarship Dave Imhoff Automotive Service Technology Scholarship Dennis Van Wyk Memorial Scholarship ECHO Electrical Supply Scholarship Edward Archer Memorial/MP&W Powerline Scholarship Elmer J. Steuck Memorial Scholarship Ford/AAA Auto Skills Scholarship Industrial & Commercial Wiring Scholarship Industrial Instrumentation Scholarship (ISA Scholarship) Interstates Companies Scholarship Iowa Association of Electric Coops—Pioneer Trust Scholarship Iowa Land Improvement Contractor's Association Northwest District Heavy Equipment Scholarship James L. Wentworth Powerline Scholarship Lems Auto Recyclers Scholarship Linn County REC Allen Feickert Memorial Scholarship Lyon Rural Electric Cooperative Scholarship Mel Marcotte Memorial Powerline Scholarship MidAmerican Energy Company Scholarship Northwest Iowa Collision Repair Association Scholarship Osceola Electric Cooperative, Inc.Scholarship Powerline Scholarship Ron Vollink Construction Trades Scholarship Skills USA Scholarship Tecton Scholarship Vander Haag's, Inc. Truck & Diesel Scholarship

By entering your full name and date below, you are certifying that the above statements are true and correct to the best of your knowledge. You also agree to give permission to the Northwest Iowa Community College Foundation to release to the news media, should I be a recipient, personal information which may include grade point average and the dollar amount of the scholarship. You also give permission to the NCC Foundation to obtain financial information, as it relates to individual scholarships, from the NCC Financial Aid Office.
Today's Date	Full Name






You may submit this form "on-line" by pushing the Submit Application button, or simply print this form out and mail it to the college address below, to the attention of the Foundation office.
NOTE: The information contained above is exclusively for Northwest Iowa Community College use only. It will not be released from our files.

Note: The information contained above is exclusively for Northwest Iowa Community College use only.
It will not be released from our files.

It is the policy of Northwest Iowa Community College not to discriminate on the basis of race, creed, color. sex, sexual orientation, gender identity, national origin, religion, or physical or mental disability in its programs, activities, or employment practices as required by state and federal nondiscrimination laws.

Northwest Iowa Community College will not tolerate violations of state and federal nondiscrimination laws. All inquiries or grievances regarding discrimination based on race, creed, color. sex, sexual orientation, gender identity, national origin, religion, or physical or mental disability may be directed to the Affirmative Action Officer, Sandy Bruns, Director of Human Resources, Northwest Iowa Community College, 603 W. Park Street, Sheldon, IA 51201, telephone 712-324-5061.

Last Updated on: 9/4/2008

Northwest Iowa Community College is accredited by the North Central Association of Colleges and Schools

©2002 Northwest Iowa Community College
603 West Park Street
Sheldon, Iowa 51201
712-324-5061
1-800-352-4907

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