Scholarship Application Form

KISHWAUKEE COLLEGE FOUNDATION SCHOLARSHIP APPLICATION
Only applications received after March 15th and before April 30 will be considered.

Applying for a Scholarship is as Easy as 1, 2, 3!

STEP 1
PERSONAL INFORMATION

First Name:

Last Name:

Current Address:

City, State, Zip:

Daytime Telephone:

Email:

Date of Birth:

Student ID # (if applicable):

Racial or Ethnic Background:

American Indian/ Alaskan		Hispanic
Black/Non-Hispanic		Other
Asian/Pacific Islander		No Response
White/Non-Hispanic

FINANCIAL INFORMATION

Your Estimated Personal Annual Income:

(a)

Estimated Annual Income of Others in Your Home:

(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 other State or Federal aid?

Yes No

I have completed and turned in my FAFSA Federal Student Financial Aid Form to the Financial Aid Office.

More help for financial need students may be found at: www.kishwaukeecollege.edu/paying_for_college/forms.shtml

EDUCATION

Student Status:

New Student Returning Student

High School Attended:

City, State, Zip

Graduation Status:

Graduated Will Graduate GED Working on GED

Estimated Graduation/GED Date:

High School GPA:

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

I Am Currently Enrolled 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
CHOOSE YOUR SCHOLARSHIP (you may apply for multiple scholarships)

FIRST – Check the Department that interests you and select an Area of Study using the drop down function.
THEN – Browse the View Requirements links.
LASTLY - Select all appropriate Scholarships

Adult Education

GED Graduates	George and Betty Dutton GED Scholarship	View Requirements
Seeking GED	IDEAL Industries Foundation GED Scholarship	View Requirements

Art/Communication/Social Sciences

Theater	Tom and Nancy Roberts Theatre Endowment	View Requirements
Music	Rufus Brown Music Scholarship	View Requirements
English	Arden Perry and Kathryn Cornell Scholarship	View Requirements
English	Jeanne M. Henderson Memorial	View Requirements
Multiple	Richard Akers Family Endowment	View Requirements

Career Technologies

Electronics	AG Communications Endowment	View Requirements
Horticulture	Bruce Cobb Horticulture Scholarship	View Requirements
Horticulture	Garden Center Symposium	View Requirements
Horticulture	Roland and Lucile Matteson Horticulture Endowment	View Requirements
AG- Transfer	Donald Sanderson Horticuture	View Requirements
Horticulture	Benjamin Harris Scholarship	View Requirements
Criminal Justice	Jeremy Davis Memorial Endowment	View Requirements
Multiple	Rolland Bonneau Memorial Endowment	View Requirements
Diesel Power	Paul J. Smith Memorial Scholarship	View Requirements
Automotive	Willard "Moose" Johnson Scholarship	View Requirements
Automotive	Mark Brisbin Scholarship	View Requirements
Welding	Smith Welding Scholarship	View Requirements
Marketing & Management	Terry Leffelman Memorial Scholarship	View Requirements
Computer Technology	Bill Springer Memorial Scholarship	View Requirements

Mathematics /Education/Science /Health
Career / Occupational Certificates

Nursing	Dean and Betty Burgemeister Endowment	View Requirements
Nursing	Ruth I. Hall Endowment	View Requirements
Nursing	K.C.F. Nursing Scholarship	View Requirements
Nursing	Sycamore Pysicians' Scholarship	View Requirements
Nursing	Mary O'Meara and Jane Schaeffer Endowment	View Requirements
Nursing	Velta Smith Memorial Scholarship	View Requirements
Nursing/Radiology	Marie Ann Pierce Memorial Endowment	View Requirements
Early Childhood	Philip H. Nye Scholarship	View Requirements

Mathematics /Education /Science /Health
Transfer Degrees

Pre-Nursing	Howard and Martha Mullins Endowment	View Requirements
Pre-Radiology	Bussone Radiology Endowment	View Requirements
Chemistry/Biology	Candace Eklund Memorial Scholarship	View Requirements
Engineering	Bill Springer Memorial Scholarship	View Requirements
Multiple	IL Health Improvement Scholarship	View Requirements

You may also qualify for one of the following scholarships based on criteria other than your Area of Study.
You may apply for multiple scholarships at the same time.

Scholarships for those who:

are in Financial Need	Linda Stoltz Caruthers Memorial Endowment Leah Wach Memorial Scholarship Veronica M. Ream Endowment	View Requirements View Requirements View Requirements
are Asian/Asian American	Doris and Robert Boey Endowment Fund	View Requirements
are Hiawatha High School Graduates	Harold C. Flanigan Memorial Endowment	View Requirements
are Hispanic Descendants	K.C.F. Hispanic Endowment	View Requirements
had High School Difficulties	Steven P. Irving Family Endowment	View Requirements
are from Rural Backgrounds	Laverne "Dutch" Johnson Endowment	View Requirements
are Rochelle High School Graduates	Vernon and Dorothy Smith Memorial Endowment	View Requirements
exhibit a High Level of "Self Service"	Bud and Kay Stocking, Rochelle Rotery Endowment	View Requirements
are members of Phi Theta Kappa	Jenkins Presidential Endowment	View Requirements

STEP 3
SUBMIT YOUR APPLICATION WITH APPROPRIATE DOCUMENTATION

Attach any supporting documents or statements as identified in the requirement sections of all grants you are
applying for today.

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

Send this file:

By sending this form I agree that the Scholarship Committee may review my educational records to verify my eligibility
for scholarships. I understand that failure to provide requested information may exclude me from consideration for
certain scholarships. Should I receive an award, I agree that the donor may receive a copy of my application essay.