PACE Scholarship Program: New Student Application

Application

Please fill out this application form in its entirety, and ensure that you read all the information.
PACE is a four-year program for selected students in participating high schools in the Salt Lake City and Granite School Districts. Students who successfully complete the program requirements will receive an up to six semester Salt Lake Community College (SLCC) PACE scholarship. This program is offered to students who are a first-generation college student, or demonstrate financial need. Please fill out the information below:
Full Name *

First Name Last Name
Student # *
Please enter your high school number
Street Address *
City *
State *
Zip Code *
Student's Phone Number *
Can you receive texts at this number?

Yes No
Student's E-mail *
Student's date of birth *

Month Day Year
Gender *
Which high school do you attend? *

Cottonwood High School East High School Highland High School West High School
Expected Graduation date *
Which of the following best describes your racial or ethnic heritage? *

White/Anglo/Caucasian Asian/Asian American African/African American/Black Hispanic/Latinx Native Hawaiian/Pacific Islander More than one race Other
Do you qualify for free or reduced lunch? *

Yes No
Do either of your parents have a bachelor's degree or higher? *

Yes No
Do you need accommodations under the American Disability Act (ADA) to participate in this program? *

Yes No
How likely are you to attend Salt Lake Community College? *

Very Likely Likely I don't know Unlikely Very Unlikely Other
PACE Application: Student Essay

Our business partners want to hear from the students they will be sponsoring. Please type a one page, double-spaced essay with one-inch margins and 12 pt. font. The following topics are to help you in writing your essay:
- Introduce yourself. Tell us about your family, where you're from, and any life experience that you would like to share that is meaningful to you. (Three of more sentences)
- Tell us why you want to join PACE. Why do you want a college scholarship, and what is one thing you want to accomplish while in high school? (Three or more sentences)
- Tell us about your educational goals. What careers are you interested in? What subjects do you like? Tell us why going to college is important for you. (Three or more sentences)
Please upload your essay below.

Note: Your application cannot be considered unless it is complete with signatures and the essay is attached.
Essay Upload

Cancel of
Student Agreement
I, First Name* Last Name*, agree to participate in the PACE Scholarship Program for four (4) consecutive years of high school.
I hereby certify that the answers I have provided are true, and I understand that providing false information on this application may disqualify me from being accepted into the PACE program and/or receiving the PACE scholarship.
Student Signature *

Clear
Today's Date *

Month Day Year
For Parent/Guardian
Parent/Guardian's Name *

First Name Last Name
Relationship to student *
Street Address *
City *
State *
Zip Code *
Parent/Guardian's Phone number *
Parent/Guardian's Email *
What is your preferred language for communication?
Why do you believe your student should be accepted into the PACE Scholarship Program? *
Parent Agreement
I agree to support the efforts of my student to participate in PACE for four (4) consecutive years of high school and to meet the requirements of the PACE Program as outlined above, including attending at least one parent-student meeting each year. *

Yes No
I give permission to release academic records (demographic info, student transcripts, log entries, schedules, term grades and attendance) to the PACE Program and Salt Lake Community College for the purpose of monitoring GPA and attendance requirements. *

Yes No
I give the PACE Scholarship Program at Salt Lake Community College permission to verify with Salt Lake City School District and/or Granite School District that my student has qualified for the FREE/REDUCED LUNCH PROGRAM at their respective school. *

Yes No
Parent/Guardian's Signature *

Clear
Today's Date

Month Day Year
Should be Empty:

Application

For Parent/Guardian