2016-2017

Scholarship Application Form

Scholarships available at CVCC are described on the reverse side of this application form. For a full description of all types of scholarships and financial aid available, please refer to the CVCC Catalog/Student Handbook. To

be considered for scholarship awards applicants must complete and submit the following materials by JUNE 2:

CVCC Application for Admission form (online www.cv.edu) CVCC Scholarship Application form (must be certified by a counselor or principal) All high school and college transcripts Complete 2016-2017 FAFSA online at www.fafsa.gov Must put CVCC school codes 012182 and 001007

Additional information may be required by departments as a part of the scholarship application process. Questions regarding scholarships should be directed to the Financial Aid Office at 334.291.4914. Scholarship award decisions will be made by July 1.

To be Completed by Student

Name: Email:

Address Street or Box City State Zip Code

Social Security # / / Home Phone

Honors and Awards – Begin with 9th

grade. You may attach a resume or an extra sheet.

Activities – Begin with 9th

grade. You may attach a resume or an extra sheet.

High School:

Check below the scholarship(s) for which you are applying.

1. Presidential

Academic*

Leadership*

(MUST also complete supplemental application.)

Ambassador*

*ACT or SAT Score preferred

Student’s Signature Date

To be Completed by Counselor or Principal

Class Rank GPA (at end of 1st

semester of 12th

grade)

Provide Numerical Average Only

ACT or SAT Score ACT SAT

Preferred for All Presidential Scholarships

School Official’s Signature Date

Types of Institutional Scholarships Available

Presidential Scholarships:

Academic, Leadership, and Ambassadors

Presidential Scholarships provide a waiver of full or partial tuition and fees for the program or course work of each recipient. The scholarship may be renewable after one-year, provided the student maintains the required grade point average and remains in good standing with the institution. Final approval is granted by the CVCC Scholarship Committee. To qualify for a Presidential Scholarship - Academic, Leadership, or Ambassador - students must: 1. Be eligible for admission to the institution under policies in effect as stipulated in the college

catalog for the year of application 2. Have earned an academic average of 85% or better for the Academic Scholarship and a 80% or

better for the Leadership or Ambassador Scholarship 3. Be certified by their high school principal or school counselor (see bottom of Page 1) 4. Be willing to participate in College events, providing up to five hours of service per week

(Leadership/Ambassador). Other requirements may apply.

Other Scholarships

Refer to the CVCC Catalog/Student Handbook for additional information.

ADA and Equal Opportunity Applicants requiring reasonable accommodations under the Americans with Disabilities Act (ADA) should contact the CVCC ADA Coordinator at 334-291-4900. No person shall on the grounds of race, color, disability, gender, religion, creed, national origin or age be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program activity, or employment opportunity at Chattahoochee Valley Community College. (Revised 05/01/16)