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Scholarship Application Form

Scholarship application form is used by all educational institutions that are providing facility of scholarship. This application form is necessary for those students who can’t bear expenses of their studies. Scholarship application form is an easy way to apply for scholarship. This scholarship application form is beneficial for both applicant and institution. This form helps to interpret deserving students therefore it is necessary that particulars that you are going to provide should be true. This is a sample scholarship application form and you can easily use it as per your desire. Feel free to use it as guideline to design your own scholarship application form. If this form is coordinated with your requirements then don’t hesitate to copy it to word document for your desired modifications.


1601 South Hamar St.|California, TX 75215-1816 | 214-378-1531 | An Equal Opportunity Institution


1. Please print clearly the following information. Turn in completed application, with all applicable signatures, to Financial Aid Office.

If this form is incomplete, inaccurate, or not signed, it will not be considered.

2. Please complete one application for each scholarship.

3. Please submit a new application each semester or as required by scholarship criteria.

4. College/Foundation may require an attached written statement describing educational goals and other relevant information (see specific scholarship criteria).

5. All students who receive a scholarship will be required to obtain a DCCCD e-mail address for future communications.

Personal Information: Applicant Name: _________________________________________________________Home Address: ___________________________________________________________

City: ______________________         State: ______________       Zip: ______________

Home Phone: __________________________       Work Phone: ___________________

DCCCD Student ID# or SSN#: ____________________________    E-mail: _________



Academic Information:College: ______________  Semester for which application is being made (Term and Year): ______________________________Credit Hours Earned to Date: ___________________     Intended Major: __________________      GPA: __________________________

Credit hours to be taken during semester for which scholarship is awarded: ________________________________________________________________________

Name of Scholarship:




Nepotism Statement:

State law requires applicants to identify any relation to a current DCCCD Foundation Board of Directors or DCCCD Board of Trustees member.

A student related to either can only receive a scholarship if exclusively based on academic merit or athletics.

Are you related to any member of the DCCCD Foundation Board or DCCCD Board of Trustees?                                                                     Yes.    No.

If yes, please identify the Board member and the relationship:


Authorization Information:

I release to the Dallas County Community College District (DCCCD) and the DCCCD Foundation the right to access all my current and ongoing personal and academic records and transcripts. If awarded a scholarship, I understand that I must meet the scholarship criteria and Standards of Academic Progress for the DCCCD and the DCCCD Foundation.

I understand my name and information from my academic history may be released to the scholarship selection committee(s) and the scholarship donor(s). If awarded a scholarship, I release to the DCCCD and the DCCCD Foundation, the right to arrange a meeting with the donor(s) and use my name, story, and picture  for printed and video materials, reports, and press releases, without compensation, as well as I will attend ceremonies and receptions. I also recognize the advisability of communicating a letter of thanks to the donor of the scholarship.

I certify that the statements herein are true to the best of my knowledge and grant my permission for the information contained herein to be shared with the scholarship selection committee(s) and scholarship donor(s).

Student Signature: _______________________     Date: __________________________

Financial Aid Office Use Only:

Financial Aid Office Signature: _________________   Date: _______     Applicant GPA: _____________________________

Division Signature (If Required): _______________________     Date: ______________

Scholarship Fund Recommended: _______________________   Amount: ____________



Foundation Office Use Only: ________________________________________________

Foundation Executive Director Signature: ______________________________________

Scholarship Awarded: ______________________   Date: _________________________


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