Forsyth Tech Application for Scholarship Consideration 2009-2010 Application Information & Instructions

Please print or type clearly. 1. Complete all questions on the Scholarship Application. If a question does not pertain to you, please write in "Not Applicable" or "NA." Be sure to complete and submit all sections of the Scholarship Application. Your application will not be considered if any of it is incomplete. 2. Use your school ID, not your social security number on your application. If you will be new to Forsyth Tech for Fall 2009, contact the Admissions Office to receive your Forsyth Tech ID. 3. Attached to this application are two reference forms. You must submit a reference from one of your full-time faculty. The other reference must be from your current or most recent employer. If you have not been employed for several years, you may request a second faculty reference. If you have not been in school in the past four years, you may use two employment references. Attach required references to the back of your application before submission to the Office of Student Financial Services. 4. You must have applied for admission or readmission or be currently enrolled by April 15, 2009. Students who have not applied for admission by then will not be considered for this scholarship competition. 5. Required transcripts must be received by April 15, 2009. 6. You are not required to submit the Free Application for Federal Student Aid (FAFSA) but financial need is a requirement or a priority for all of the scholarships under consideration. It is very difficult to receive a scholarship without having the FAFSA information on file with our office. Your results should be here by May 1, 2009 to be considered. 7. By signing and submitting this application you are giving the scholarship committee the authority to review your academic transcript(s) and your financial need. The completed scholarship application is due by Wednesday, April 15, 2009 at 7 pm. Return it to the Office of Student Financial Services, Allman Center, Room 261.

Incomplete and/or late applications will not be considered. All parts of the Scholarship Application must be submitted directly to the Office of Student Financial Services by the deadline date.

Scholarship Notifications
The Scholarship Committee will review Scholarship Applications after spring grades become available. All applicants will be notified of scholarship decisions by mail no later than July 31, 2009.

As you write the required essay. Some scholarships require an essay in addition to the application. The topic is: • Why have you chosen to apply for this scholarship? Ivy Lamb Scholarship .Your application will be reviewed by the Forsyth Tech Scholarship Committee after Forsyth Tech Spring 2009 grades are available. If you are interested in being considered for any of the following scholarships you must attach your essay to your application before submitting it to the Office of Student Financial Services.500 word essay.Requires you to write a 500 word essay. The topics to be included are: • Why have you have chosen to become a nurse? • Is there a particular branch of nursing that interests you more than others? Charlie King. include answers to the short-answer questions (Section 5). Associate Degree Nursing and Licensed Practical Nursing Scholarships – All Forsyth Tech Nursing scholarships require you to write a 250 – 500 word essay. You will be considered for all scholarships for which you meet the minimum requirements. you do not have to rewrite the answers to Section 5. Student Development Memorial Scholarship – Requires you to write a 250 – 500 word essay. The topic is: • International Business Society for Manufacturing Engineers Scholarship . By including that information in your essay.Requires you to write a 250 . The topic is: • Why have you chosen to apply for this scholarship? .

) you have either applied for and/or been awarded for the 2009-2010 academic school year. Outside Scholarships and Loans. April 15. Veteran’s Benefits. and turned in to the Office of Student Financial Services no later than Wednesday. WIA. 2009 at 7 pm. __________________________________________________ Do you pay for child care services for any of the above? Yes [ ] No [ ] If so. W-S Foundation. or single [ ] ? If you have children or other dependents.e. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Race: African-American [ ] Asian/ Pacific Islander [ Hispanic [ ] Male [ ] ] American Indian/ Native Alaskan [ ] Caucasian/Non-Hispanic [ ] Other [ ] ________________________________ ] Female [ Are you married [ ] separated. attached. etc. list their ages. Section 1 General Information ____________________________________________________ __________________ Last Name First Name MI College ID Mailing Address City State Zip ____________________________________________________ ___________________ E-Mail Address Date of Birth ___________________________ Home Telephone # _____________________________ State of Legal Residence ______________________ ___________________ Cell Phone # Work Phone # ____________________________ County of Legal Residence Yes [ ] No [ ] Have you completed and submitted the 2009-2010 FAFSA? List other types of assistance (i. Tuition Reimbursement.Forsyth Tech Scholarship Application All parts of the Scholarship Application should be completed. divorced. Voc Rehab. where? __________________________________________________ .

Yes_____ No_____ If returning. how many? ___________ No [ ] If not employed. please request they be sent to you to submit to the Scholarship Committee. . *If you have had your transcripts from other colleges and/or high school sent to Forsyth Tech previously. Fall 2009 Spring 2010 Summer 2010 12 or more credits [ 12 or more credits [ 12 or more credits [ ] 9 – 11 credits [ ] 9 – 11 credits [ ] 9 – 11 credits [ ] 6 – 8 credits [ ] 6 – 8 credits [ ] 6 – 8 credits [ ] Less than 6 credits [ ] Less than 6 credits [ ] Less than 6 credits [ ] ] ] I intend to transfer to another college Yes____ No____Which college?_______________________ Full-time______ Part-time________ Section 3 Transcripts Have you been enrolled at Forsyth Tech prior to Fall. where were you last employed? _____________________ How many hours a week? ____ When did you leave?___________ Did you leave your position in order to attend school? Yes [ ] No [ ] Section 2 College Plans Your 2009-2010 curriculum at Forsyth Technical Community College is ___________________________ Your expected graduation date from Forsyth Technical Community College is _________ What level of education are you pursuing? (Check only one) Associate Degree [ ] Diploma [ ] Certificate [ ] What are your enrollment plans for 2009-2010? I intend to enroll in Forsyth Tech. where?_________________________ How many hours a week? _______Did you cut back on your hours in order to attend school? Yes [ ] If so. Current high school students should submit a current transcript. A final transcript must be received by August 15. check one for each term. 2009? Yes [ ] Your Forsyth Tech transcript will be pulled for you.____________________________________________________ __________________ Last Name First Name MI College ID Are you currently employed? Yes [ ] No [ ] If yes. If not. 2009. No [ ] Have you been enrolled in any other college? *Yes [ ] We will need an official college transcript from all other college’s previously attended. *No [ ] We will need an official high school transcript if you have never been enrolled in college. we will pull them for you.

) impact your ability to complete your educational requirements? 4. How does your education commitment impact your job and family? 3. Answers to these questions are required of all scholarship applicants.Section 4 References Attached to this application are two reference forms. you may substitute a second faculty reference. awards or achievements. transportation. If you are attaching an essay. Why have you chosen to enroll in your curriculum? 2. Attach required references to the back of your application before submission to the Office of Student Financial Services. I understand my signature grants the Office of Student Financial Services permission to release any information deemed appropriate in corresponding with donors and the scholarship committee. What are your career and future education expectations? 5. You must submit a reference from one of your curriculum instructors if you have been enrolled in school within the last four years. Section 5 Short Answer Questions On a separate sheet type or handwrite answers to the following questions and attach the sheet to your application. accurate. Signature Date . What else should the scholarship committee know about you? (special circumstances or challenges. if so. Request your references in time to attach them to your application. etc. and true. The other reference must be from your current or most recent employer unless you have been out of work for two or more years. What barriers (child care. work hours. 1. include the answers to these questions as part of your essay. community service &/or volunteer activities) Section 6 Student Signature (Required) I certify that the information given on this application is complete.

An Equal Opportunity Educational Institution 2100 Silas Creek Parkway Winston-Salem.Office of Student Financial Services 261 Allman Center Faculty Reference Form 2009-2010 Award Year I am applying for a scholarship through Forsyth Technical Community College. _________________________________________ Student’s Name (Please print. As a reference. you have my authorization to give the information requested below. NC 27103-5197 (336) 734-7235 Fax (336) 761-2454 .) _________________________________________ Student’s Signature ______________________________________________ Curriculum ______________________________________________ Date _________________________________ Daytime Contact Telephone # ______________________________________________________ Address City State Zip How long have you known the applicant? _________________________________________________________ In what capacity? ______________________________________________________________________________ Please check the phrase which best fits the person in each trait listed below: TRAIT School Performance Initiative Maturity of Judgment Interaction with Others Seriousness of Purpose NOT OBSERVED OUTSTANDING ABOVE AVERAGE AVERAGE POOR Further Comments including barriers to the student’s success: ___________________________________________________________________________________________ ___________________________________________________________________________________________ Reference Signature: _______________________________________ Date: ____________________________ Print Name: __________________________________________________________________________________ Address: _____________________________________________________________________________________ Return to the student to be attached to the student’s application.

_________________________________________ Student’s Name (Please print. you have my authorization to give the information requested below. NC 27103-5197 (336) 734-7235 Fax (336) 761-2454 .) _________________________________________ Student’s Signature ______________________________________________ Curriculum ______________________________________________ Date _________________________________ Daytime Contact Telephone # ______________________________________________________ Address City State Zip How long have you known the applicant? _________________________________________________________ In what capacity? ______________________________________________________________________________ Please check the phrase which best fits the person in each trait listed below: TRAIT Work or School Performance Initiative Maturity of Judgment Interaction with Others Seriousness of Purpose NOT OBSERVED OUTSTANDING ABOVE AVERAGE AVERAGE POOR Further Comments: ___________________________________________________________________________________________ ___________________________________________________________________________________________ Reference Signature: _____________________________________ Date: ____________________________ Print Name: __________________________________________________________________________________ Address: _____________________________________________________________________________________ Return to the student to be attached to the student’s application. 2100 Silas Creek Parkway An Equal Opportunity Educational Institution Winston-Salem. As a reference.Office of Student Financial Services 261 Allman Center Employment or Faculty Reference Form 2009-2010 Award Year I am applying for a scholarship through Forsyth Technical Community College.