Brazosport College: Community Education Scholarship

Brazosport College Community Education
THIS FORM MUST BE COMPLETED AND SUBMITTED AT LEAST 7 BUSINESS DAYS BEFORE CLASS START DATE. FOR APPLICATION RECEIVED LESS THAN SEVEN (7) BUSINESS DAYS BEFORE CLASS START DATE, STUDENT IS REQUIRED TO ESTABLISH A PAYMENT PLAN ONLINE AT myBC.
Scholarship Application Form
DATE OF BIRTH *

Month Day Year
Date
VALID EMAIL ADDRESS *
example@example.com
NAME *
Student ID
PLEASE ENTER MAILING ADDRESS *

ADDRESS

Street Address Line 2

CITY

ZIP
PRIMARY PHONE NUMBER *
SECONDARY PHONE NUMBER
CE Course/Program *
Total Cost of Course/Program
Course/Program Start Date *

Month Day Year
Date
SECTION 1
1) Have you been approved for other financial assistance? *

Yes No
If yes, what kind (type of grant, class taken with funding)
2) Are you on any type of financial holds at Brazosport College? *

Yes No
SECTION 2
How many people are in your family? *
What is your total household income? *

Under $54,150 $77,301 - $83,500 $54,151 - $61,850 $83,501 - $89,700 $61,850 - $69,600 $89,701 - $95,900 $69,601- - $77,300 $95,901 - $102,050
Income levels are based on the number of people in your household and total household income. You must upload proof of income (please upload two months of paychecks/income statements) for scholarship award. *
In 250 words or less, please explain the following: 1) Why did you select this class/program? 2) What is preventing you from being able to pay for this class/program? 3) How will this scholarship improve the quality of your life? *
If selected this scholarship will pay 50% up to $500 of the tuition cost of the course/program. The cost of the course/program must be at least $100 for consideration. Please do not call, scholarship recipients will be notified via emial or phone.
I hereby declare that the information contained in this application is true and correct to the best of my knowledge. *

Clear
Date *

Month Day Year
Date
Should be Empty:

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Brazosport College Community Education

Scholarship Application Form

SECTION 1

SECTION 2