2017-18 SCHOLARSHIP APPLICATION
Name _______________________________________ JDCC Student # _____________________
___________________________________ _______________________ _________________
Mailing Address City, State Zip Code
Phone # ___________________________ Email Address __________________________________
High School _____________________________________________________ Graduation Date _________
High School GPA ________ ACT/SAT Score ________ Major ________________________
High School Academic Honors, Awards, and/or Leadership Positions ____________________________
Are you currently receiving a scholarship or other assistance from any other source? Yes or No
If yes, please name the source providing financial assistance ___________________________________
By signing below, I agree to allow Jefferson Davis Community College to issue news releases pertaining to said scholarship award(s), if awarded.
Signature ________________________________________________________ Date _____________
Deadline---- February 1, 2017
ü Applications received after February 1st will be considered as scholarships are available.
ü To be recognized at high school awards ceremony, scholarship packet
must be received by February 1st.
Application packet must include:
1. Completed JDCC application for admission
2. Completed scholarship application
3. Two letters of recommendation
4. Current copy of high school, GED, or college transcript(s)
5. Honors and Presidential application must include a copy of ACT scores
OFFICE USE ONLY
___ Admission Application
___ Scholarship Application
___ Letters of Recommendation
___ Date Received: _________________
NOTE: Only completed applications will be reviewed. Only one JDCC scholarship may be awarded to an applicant. Only students who are in the Nursing Program or only need a couple of classes to graduate may request part time status in writing to the chair of the scholarship committee. The committee will review the request and notify the student on the decision.
Please check all scholarship areas for which you are applying for.
_____ Academic _____ Institutional _____ Career/Technical: List areas of interest. ______
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Presidential ACT score of 27 or higher; essay must be submitted with application. Essay should cite a person or event that had a significant impact on the applicant’s goals and/or values. (Application must include a copy of ACT score.)
Sara Neal Honors Presented to valedictorians and salutatorians of area high schools.
Rosemary C Jernigan Honors ACT score of 20 or higher. Recipient must take Honors section of required classes. (Application must include a copy of ACT score.)
Art Must present portfolio. Contact JDCC art instructor at (251) 809-1617.
Institutional Must demonstrate academic potential through grade point average.
Leadership Awarded to select students who have demonstrated leadership skills by serving as club officer and participating in school and/or community activities. Recipient must participate in the JDCC Student Government Association.
Second Generation Name of Parent (at the time of graduation) and years attended. Must also include proof of relationship 1.) Copy of Birth Certificate 2.) Other proof of relationship.
Nursing Must be accepted into the Nursing Program. Must include a copy of your acceptance letter.
Office Administration Major in Office Administraton Required. Contact JDCC office administration instructor at (251) 809-1631.
Air Conditioning/Refrigeration Auto Body Drafting and Design Welding
Industrial Engineering Maintenance Technology
Completed application packet should be mailed to:
Jefferson Davis Community College
P.O. Box 958
Brewton, Alabama 36427
Brewton Campus Drop off: Student Support Service’s Office
Atmore Campus Drop Off: Cornelia Miller’s Office
Statement of Non-Discrimination Policy
It is the official policy of the Alabama State Department of Postsecondary Education and Jefferson Davis Community College that no person in Alabama
shall, on the grounds of race, color, disability, sex, 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. Title IX Coordinator: 251-809-1592.