2015-2016 Scholarship Application Form - Chattahoochee Valley ...

Zip Code. Social Security #. /. /. Home Phone. Honors and Awards – Begin with 9th ... accommodations under the Americans with Disabilities Act (ADA) should ...
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2015-2016 Scholarship Application Form Scholarships available at CVCC are described on the reverse side of this application form. For a full description of all types of scholarships and financial aid available, please refer to the CVCC Catalog/Student Handbook. To be considered for scholarship awards applicants must complete and submit the following materials by March 2:    

CVCC Application for Admission form (online www.cv.edu) CVCC Scholarship Application form (must be certified by a counselor or principal) All high school and college transcripts MANDATORY--Complete 2015-2016 FAFSA online at www.fafsa.gov CVCC school code 012182

Additional information may be required by departments as a part of the scholarship application process. Questions regarding scholarships should be directed to the Financial Aid Office at 334.291.4914. Scholarship award decisions are typically announced by April 15 of each year.

To be Completed by Student Name:


Address Street or Box

Social Security #





Zip Code

Home Phone


Honors and Awards – Begin with 9 grade. You may attach a resume or an extra sheet.


Activities – Begin with 9 grade. You may attach a resume or an extra sheet.

High School: Check below the scholarship(s) for which you are applying. 1. Presidential

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2. Performing Arts

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Academic* Leadership* (MUST also complete supplemental application ON BACK.)  Ambassador* *ACT or SAT Score preferred

3. Athletic

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Music voice Music instrumental

Student’s Signature

Baseball (Men) Fast Pitch Softball (Women) Basketball (Men) Basketball (Women) Manager


To be Completed by Counselor or Principal Class Rank



GPA (at end of 1 semester of 12 grade) Provide Numerical Average Only

ACT or SAT Score  ACT Preferred for All Presidential Scholarships School Official’s Signature

 SAT Date

Leadership Scholarship – Supplemental Application (MANDATORY) Thank you for applying for the Leadership Scholarship. The purpose of the Leadership Scholarship is for recipients to serve as the programming organization for planning entertaining and/or education events and programs for student at Chattahoochee Valley Community College.

Why are you interested in becoming a Leadership Scholar? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ What previous experience do you have with planning large events (Homecoming, Prom, etc.)? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ What qualifications, experience, and/or skills do you possess that could serve as an asset to the programming board? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ How will you encourage students to get involved with student activities on the CVCC campus? __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________

ADA and Equal Opportunity Applicants requiring reasonable accommodations under the Americans with Disabilities Act (ADA) should contact the CVCC ADA Coordinator at 334-291-4900. No person shall on the grounds of race, color, disability, gender, religion, creed, national origin or age be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program activity, or employment opportunity at Chattahoochee Valley Community College. (Revised 12/09/15)