The State Employees Credit Union Foundation Two Year Scholarship Program 2015-2016 Name___________________ Student ID#____________ Date of Birth_______________________ Home Address_____________________________________________________________________ City ______________________________ State_______________________ Zip_________________ Telephone__________________________________ Major__________________________________ Do you intend to enroll as a Full-Time student at DCCC in a Degree, Diploma, or Certificate? ________________Yes ___________________No______________________________ Have you completed the Free Application For Federal Student Aid?______ Yes ____ No Will you have a High School Diploma or GED by the time you enroll fall 2015? __________ Are you a Citizen of the United States? ___________________Yes _____________________No Are you considered a resident of North Carolina for tuition Purposes? ______Yes ____No Are you an Employee, Child of an Employee, or Member of the SECU? _____Yes _____No Do you anticipate receiving other Grants, Scholarships, Loans or Assistance from other resources? If so please list____________________________________________________ 1) Please include a brief statement to share how you best exemplify the membership philosophy of credit unions, “People Helping People”, and have demonstrated leadership, excellence of character, integrity, and community involvement. 2) Attach a copy of your most recent Transcript or GED Score Report to demonstrate your Scholastic Achievements. THE ABOVE INFORMATION IS CORRECT TO THE BEST OF MY KNOWLEDGE. IF SELECTED I AGREE TO SIGN A CONSENT FORM TO RELEASE INFORMATION TO THE DONORS. I UNDERSTAND I THAT IF I DO NOT ENROLL AT DCCC THE SCHOLARSHIP IS NON-TRANSFERABLE. _________________________________________________ SIGNATURE ____________________________ DATE State Employees Credit Union Foundation Scholarship 2015-2016 The SECU Foundation established this two-year scholarship program to assist North Carolina Community College System (NCCCS) students in achieving academic success. The members of the State Employee’s Credit Union take an active role in assisting organizations and communities across North Carolina and truly believe in “People Helping People”! For the 2015 fall semester, DCCC may award (2) scholarships. Each scholarship is valued at $5,000 and is intended to be used for 2 academic years. Scholarships will be distributed 2 times per year (Fall & Spring) for a maximum of 4 consecutive terms over 2 academic years. Eligibility Criteria To qualify as a candidate for this scholarship program, an individual must meet the following criteria: • Be an applicant, who is a graduate of a North Carolina high school or a full-time student, enrolled in an Associate Degree, Diploma, or Certificate program at a North Carolina Community College. • Be a U. S. Citizen and a resident of North Carolina under NCGS 116-143 and is eligible for in-state tuition. • Demonstrate financial need using the 2014-2015 Free Application for Federal Student Aid (FAFSA) • Demonstrate Scholastic Achievement with a 2.5 or higher GPA on a 4.0 scale or score 3,000 on their GED. • Use the scholarship to pay for tuition, fees, textbooks, course supplies and transportation. •Be enrolled at DCCC at the time the scholarship is awarded and for the duration of the scholarship and or completion of program whichever comes first. Completed applications should be turned in to the Enrollment Services Office on the first floor of the Mendenhall Building. Deadline is June 1, 2015.