Foundation Scholarship Application

First Name *

Last Name *

Middle Name *

Maiden/Previous

Address *

Address 2

City *

State / Province / Region *

ZIP *

Country *

Kansas County

Home Phone

Cell Phone

Email

Gender *

Marital Status *

Birthdate *

Ethnic Origin (Select all that apply.) *

Are you a veteran? *

Have you applied for admission to Highland Community College? *

High School Attended *

High School GPA *

Highland Community College GPA if applicable

Semester/Year applying for scholarship * Fall 2019 Spring 2020

Location for planned attendance * Highland campus Technical Center Atchison Center Perry Center Wamego Center Western Center

Major or Program of Study *

Plans after attending Highland * Enter Workforce Military Transfer

If you plan to transfer, please list which school

Do you have any family members who have attended Highland in the past? If yes, who? *

Are you a dependent of a single parent household? *

Do you have dependents? *

List activities and awards while in high school or at HCC if you are currently attending. *

List any community service completed in the last two years. *

Why did you choose Highland? *

Why are you applying for this scholarship? *

Please select which scholarship you are applying for. Note application deadline. *

By submitting my name and date, I am verifying that the information given is accurate and that I have read and agree to the scholarship terms and conditions listed on the HCC scholarship page. *