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	Select Area of Study Art Anthropology Economics English Geography History Humanities Journalism Modern Language Music Philosophy Political Science Psychology Reading Social Science Sociology Speech Theatre
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	Select Area of Study Automotive Aviation Building Construction Collision Repair Computer Aided Design Computer Information Systems Criminal Justice Diesel Power Technology Electronic and Computer Technology Electronics Equine Science Horticulture Manufacturing Technology Marketing and Management Office Systems Real Estate Welding
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	Select Area of Study Basic Nurse Assisting Early Childhood Education Emergency Medical Services Home Day Care Nursing Radiologic Technology Therapeutic Massage Biological Sciences Chemistry Education: Elementary/Secondary/Special Health Administration/Community Health Mathematics Physical Education Physical Science Physics Pre-Engineering Pre-Medical Pre-Nursing Pre-Pharmacy Pre-Physical Therapy Pre-Radiology Pre-Therapeutic Massage Pre-Veterinary
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.