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*

MonthDayYear
Date
VALID EMAIL ADDRESS*
example@example.com
NAME*
Student ID
PLEASE ENTER MAILING ADDRESS*

ADDRESS

Street Address Line 2

CITYState / Province

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

MonthDayYear
Date
SECTION 1
1) Have you been approved for other financial assistance?*

YesNo
If yes, what kind (type of grant, class taken with funding)
2) Are you on any type of financial holds at Brazosport College?*

YesNo
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 email or phone.
I hereby declare that the information contained in this application is true and correct to the best of my knowledge.*

Clear
Date*

MonthDayYear
Date
Should be Empty:

Brazosport College Community Education

Scholarship Application Form

SECTION 1

SECTION 2