Early Admissions Scholarship Application

Early Admissions Scholarship Application
Take a RACC class as early admissions and receive a scholarship!

Scholarship Eligiblity Criteira:
- The scholarship is for $50 per credit.
  - $150 scholarship towards a 3-credit course
  - $200 scholarship towards a 4-credit course
- Student will be responsible for all tuition and fees not covered by the scholarship
- Student must fill out an application to be eligbile. Scholarship is available as funding permits.
DEADLINE: application must be received at the time of course registration.
Name:*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number

Area CodePhone Number
Email*
example@example.com
Date of Birth

MonthDayYear
What semester are you applying for?*
High School *
Early admissions course(s) you are registering for:*
Total number of college credits you are registering for:*
Let us know you are a human.*
Should be Empty: