KISHWAUKEE COLLEGE FOUNDATION SCHOLARSHIP APPLICATION
Only electronic applications which are submitted between now and October 15, 2010 will be considered for Kishwaukee College Foundation Scholarships for the Spring 2011 Semester. Non-electronic applications will not be considered without advanced written Foundation approval.
Applying for a Scholarship is as Easy as 1, 2, 3!

STEP 1 Questions? Email for Help.
PERSONAL INFORMATION
First Name *
Last Name:*
Current Address:*
City:*
State:*
Zip:*
Daytime Telephone:*
Email:*
Identification:* Kish Student ID        Last four of SSN # 
Date of Birth: MM/DD/YYYY
Kishwaukee College Student Status: New Student               Returning Student

If you have taken any classes at Kishwaukee College, you must fill out the Transcript Request form.

Instructions:
1) Fill out and sign the form.
2) Submit to the Kishwaukee College Admissions, Registration & Records Department in person or by mail.
3) The form must be received by Admissions, Registration & Records by the scholarship application deadline in order for the request to be processed.
4) Failure to submit this form by the deadline will result in your application being reviewed by the scholarship committee without Kishwaukee College transcripts, which may exclude you from consideration for certain scholarships.

Racial or Ethnic Background:
American Indian/
Alaskan
Hispanic
Black/Non-Hispanic Other
Asian/Pacific Islander No Response
White/Non-Hispanic
 

FINANCIAL INFORMATION
Please include any income from child support, alimony or any other state or federal assistance. If you are still claimed as a dependent on your parents’ tax return, you must complete all questions referring to income using both yours and your parents’ income, whether they are helping you financially or not. Use gross income for all totals. If you have no income for personal and/or other income field(s), enter “0”.

When entering numbers, do not use commas.

Personal Estimated Annual Income (a):*
Estimated Annual Income of those who claim you on their income tax return (b):*
Total of a+b:*
# of Dependants:
Ages of Dependants:
I am a Single Parent: * Yes           No 
Currently Employed:* Yes           No 
Average Hours Worked Per Week:
Are you currently receiving State or Federal aid?* Yes No
Have you completed and turned in your FAFSA Federal Student Financial Aid Form to the Financial Aid Office?*
Yes No

More help for students in financial need can be found at: www.kishwaukeecollege.edu/paying_for_college/forms.php?page=96

 
EDUCATION
High School Attended:
City, State, Zip
Graduation Status: Graduated     Will Graduate      GED     Working on GED 
Estimated Graduation/GED Date:
High School GPA/GED Score:* GPA       GED
Anticipated Kishwaukee College Graduation Date:
Anticipated Transfer from Kishwaukee College Date
I Plan To Enroll at Kishwaukee College as a:*
Full Time Student   Part Time Student


Please tell us why you believe you should receive this (these) scholarship(s):



STEP 2 Questions? Email for Help.
CHOOSE SCHOLARSHIPS (you may apply for multiple scholarships)

1) Choose one department by checking the box.
2) Select an area of study within that department from the drop-down menu.
3) View requirements for each scholarship.
4) Select appropriate scholarships by checking the box.

You may apply for multiple scholarships in one area of study, in addition to scholarships in the following categories: Adult Education & Transition Programs, Financial Need, Heritage, Graduates or Attributes. To apply for scholarships in multiple departments / areas of study please contact the Foundation Office at 815-825-2086 ext. 2660.

Art/Communication/Social Sciences
Theater Tom and Nancy Roberts Theatre Endowment
  View Requirements
Theater Michael Bennett Scholarship for Art
  View Requirements
English Arden Perry & Kathryn Cornell Scholarship
  View Requirements
English Jeanne M. Henderson Memorial
  View Requirements
Career Technologies
Electronics AG Communications Endowment
  View Requirements
Horticulture Roland and Lucile Matteson Horticulture Endowment
  View Requirements
AG- Transfer Donald Sanderson Horticuture
  View Requirements
Agriculture James E. Forster Scholarship
  View Requirements
Horticulture Internships Ruth Ashelford-Pollock Horticulture Internship & Field Study Scholarship
  View Requirements
Check your first priority: Internship   Field Study

Mathematics/Education/Science/Health
Nursing Ruth I. Hall Endowment
  View Requirements
Early Childhood Philip H. Nye Scholarship
  View Requirements
Pre-Radiology Bussone Radiology Endowment
  View Requirements
Multiple IL Health Improvement Scholarship
  View Requirements
Nursing Ruth Ashelford-Pollock Endowment for Nursing
  View Requirements
You may also qualify for one of the following scholarships based on criteria other than your area of study.
Adult Education & Transition Programs  
KC Foundation Outstanding GED
  View Requirements

STEP 3 Questions? Email for Help.
SUBMIT YOUR APPLICATION WITH APPROPRIATE DOCUMENTATION

Attach any supporting documents or statements as identified in the requirement sections of all scholarships you are applying for today. Hard Copies of supporting documents must be RECEIVED before the application deadline in order to be included in your application and may be dropped off or mailed to:

Kishwaukee College Foundation - Room’s A230 – A232
21193 Malta Road
Malta, IL 60150

If you fail to submit supporting documentation you may be excluded from consideration for certain scholarships.

ALL letters of reference and/or statements of fact must include the contact information of the author.

To attach a file to your scholarship application, click the browse button. Locate the file on your computer or other media. Click on the file you want to attach, and then click open.





*By sending this form I agree to the following:
I understand that failure to provide requested information may exclude me from consideration for certain scholarships. Should I receive a scholarship, I agree that the donor may receive a copy of my application.

I attest that the information contained in this application and all attached documentation is true and correct. I also authorize Kishwaukee College Foundation to verify the correctness of this information and to procure any other information they may require.

Within the next few days, I will receive an email from the webapp@kishwaukeecollege.edu notifying me of any missing materials and that my application has been received and processed. This email is the official receipt of my application. I understand that without this receipt, no extensions or exceptions to the application deadlines will be considered. Additional material and/or changes to your application will only be accepted until the application deadline.

How did you learn about Kishwaukee College Foundation scholarship opportunities?
Kishwaukee College website Kishwaukee College Advisor
Kishwaukee College Foundation website Financial Aid Office
Poster on Kishwaukee College campus High School Counselor
TV display on Kishwaukee College campus Letter from Foundation
Other:


contact trittenhaus design