Spoon River College Academic and Performing Scholarships
Spoon River College Foundation Scholarships
2011-2012 Academic Year
Spoon River College and the SRC Foundation offer a variety of scholarships to provide financial
assistance and/or to recognize outstanding performance in academics, athletics, art/theatre, and
vocational interests.
The SRC scholarship programs are intended to provide maximum benefit to students seeking to
improve their skills through higher education. New scholarships may be added throughout the
year. These scholarships should be coordinated with Federal and State financial aid programs as
well as outside private scholarships. Awards are first applied to students’ SRC bills. Some
awards are made after a semester begins. To be eligible for renewable scholarships, students
must re-apply.
To be eligible for these scholarships, students must:
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live within the college district prior to the first day of the semester in which the
scholarship applies
must be accepted/enrolled and pursuing a degree or certificate program at SRC
must have applied for financial aid through the Free Application for Federal Student Aid
(FAFSA)
STEPS TO APPLY: Students will be eligible for all relevant SRC and SRC Foundation
scholarships by completing the following application form and submitting the required FAFSA
and transcript. Separate applications are not required. Unless otherwise stated on the website,
the application, transcript, and FAFSA must be submitted to the SRC Financial Aid Office
by 4:30 p.m. March 15, 2011.
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Complete an application for admission to Spoon River College
Complete the Free Application for Federal Student Aid (FAFSA)
Submit an institution-verified copy of the most recent transcript (high school or college)
to SRC Financial Aid Office, 23235 North County 22 Highway, Canton, IL 61520
Download and complete the scholarship application in either Word or pdf versions
Print and mail to: SRC Financial Aid Office, 23235 North County 22 Highway,
Canton, IL 61520
REQUIREMENTS: Students must remain in good standing at SRC. Any student receiving a
scholarship will be required to write a letter at mid-term to the Foundation. Recipients will
receive instructions by mail in November.
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SPOON RIVER COLLEGE/SRC FOUNDATION GENERAL SCHOLARSHIP APPLICATION FORM
2011-2012
Please neatly complete all information below. See preceding page for eligibility, procedure, and deadline
information. All scholarships are listed on the SRC scholarship website and updated throughout the year.
PERSONAL DATA
Legal Name: (Last First Middle)
Social Security # or SRC Student ID #
Date of Birth (MM-DD-YYYY)
Street Address
Email Address
City
Home Telephone #
State
-
-
Zip Code
Cell Phone #
-
-
APPLICATION STATUS
Applying for the following term (check one)
Fall
Spring
I am a (check one)
new SRC student
returning SRC student
I will be attending (check one)
full time (12+ hours)
part-time (under 12 hours)
I am classified as a (check one)
freshman (0-29 hours)
sophomore (30+ hours)
I received an SRC scholarship in the previous year (check one)
I have submitted the FAFSA (check one)
I have requested all transcripts be sent to
SRC Financial Aid Office (check one)
EDUCATIONAL BACKGROUND
yes
yes
no
If yes, list date submitted
yes
no
If yes, date requested
Name of High School
City, State
Date of Graduation
Cumulative GPA
Name of College
Dates Attended
Summer
,
on a scale of
City, State
From
to
no
.
Cumulative GPA
# of Credit Hours Earned
Program of Study
I am interested in the following program(s) of study at SRC (i.e. Ag, General Studies, English)
Please list areas of interest for SRC College Life (i.e. Student Government, Athletics (baseball, softball,
men’s basketball, women’s basketball), Ag/Livestock Judging, Nursing, Writing/Journalism, Art, Habitat
for Humanity, Honors, etc.)
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AFFIRMATION
I have read and understand all criteria and requirements regarding Spoon River College Scholarships
and SRC Foundation Scholarships.
The preceding information I have supplied on this application form is correct. If I receive a scholarship, I
understand I must adhere to all requirements for that scholarship. I am not in default on any student
loan(s). I also give my permission to Spoon River College to request and obtain any related information
that would be pertinent to my application and share my information with committees reviewing
applications for scholarships. I allow SRC to publish my name as a scholarship recipient but understand
no other personal information will be published. I understand that scholarship awards will first be applied
to my SRC account to cover any balance due. I also understand that some awards may be made AFTER
a semester begins.
Student Signature _________________________________________ Date _____________________
Parent Signature for Minor _________________________________ Date _____________________
Please print and mail/deliver this form to:
SRC Financial Aid Office, 23235 North County 22 Highway, Canton, IL 61520.
SRC is an Affirmative Action/Equal Opportunity Employer. It is the policy of Spoon River College to be
in full compliance with all federal and state nondiscrimination and equal opportunity laws, orders, and
regulations. They will not discriminate against any person because of race, color, religion, national
origin, sexual orientation, age, handicap, marital status, or status as a disabled veteran or veteran of
Vietnam era in any educational program and activities.
updated 1/2011
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