Scholarship Application

Course Applying for:
Your Name:
Your Address:
Phone Number: () -
Your Email Address:


Please describe your computer and internet access (example: Windows or Mac, basic speed and RAM, Dial-up/DSL/Cable internet connection)
Family Annual Income:       Family Size:
Please list any unusual or extenuating financial situations (i.e. extreme medical bills, supporting aging parent, etc.):
Are you able to purchase books on your own?  
Briefly describe why you should be granted a scholarship:


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