Fire Academy Scholarship Application - Coastal Carolina Community College

Applicant Name*

Street Address*

City*

State*

Zip Code*

Telephone Number*

Email*

Student ID Number

Name of high school from which you graduated*

Community, church, and school organizations for which you volunteer

Are you employed?*

Yes
No

Where?*

Average Hours Per Week*

The following information is requested due to the criteria of some of the available scholarships.

Military

Active Duty
Dependent
Retiree
N/A

Financial Analysis

Your Annual Income*

Spouse's Annual Income

Father's Annual Income

Required if you are under 24 and single.

Mother's Annual Income

Required if you are under 24 and single.

Total Income

Total number of members living in household?*

Total number of household members enrolled in college?*

Additional Requirements

Upload Your One-Page Essay*

Max. file size: 100 MB.

We ask that you submit a one-page essay regarding your character, academic goals, financial need and community service. Complete this document and submit with application.

I understand that I am responsible for obtaining two letters of recommendation.*

I agree

Letters should address financial need, academic performance, and/or general character. Letters may be obtained from instructors, clergy, or employers. Recommendations cannot be from a relative.

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