Tri State Scholarship Application

Tri State Educational Foundation Scholarship Application (Fall 2026 + Spring 2027)

Deadline is March 1, 2026
Use this form to apply for scholarship assistance if you have not (recently) applied for or been on scholarship with Tri State before. If awarded as an undergraduate student, funding may only be applied to fall and/or spring semesters.

To be considered for a Tri State Scholarship, you must first complete the FAFSA. If you haven’t applied for FAFSA yet, please do so before submitting this application. Also, if you qualify for a full Pell Grant and plan to attend NEMCC or ICC as a commuting student, your school charges should be fully covered, which means you would not be eligible for additional assistance through Tri State.

Counties included in Tri State’s area are: Alcorn, Itawamba, Lee, Prentiss, Tippah, Tishomingo, and Union in MS; Colbert, Franklin, Lauderdale, Lawrence, and Marion in AL; and Chester, Hardeman, Hardin, Lawrence, McNairy, and Wayne in TN. However, Tishomingo County receives first priority.

Tri State assists with undergraduate degrees in any field and graduate degrees in education only. Undergraduate requests receive priority.

Tri State scholarships may only be used for tuition, fees, meal plans, dormitory (on-campus housing), books, and necessary supplies as long as the charges can be billed through the college/university. Tri State Scholarships are supplemental scholarships, which means that we pay after all other scholarships and grants. If all your charges are covered, we will not be billed. Also, our scholarship money can never be given directly to the student.

Tri State scholarship recipients must complete at least 12 hours each semester at the undergraduate level and maintain at least a 2.0 term GPA each semester with no failures.
Personal Information
Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Phone Number*
Student ID Number*
Please list the last 4 digits of your SSN or your full college ID number. This is required for sending award notification to your school, so make sure it is accurate.
Email Address*
Please list your preferred email address, which will be used for ALL correspondence.
County of Residence*
If 'Other', Please List County of Residence*
Physical Address*

Street Address

Apt/Unit #

CityState

Zip Code
Mailing address is the same as physical address*

YesNo
Mailing Address*

Street Address or P.O. Box

Apt/Unit #

CityState

Zip Code
Have you applied for a Tri State Educational Foundation scholarship before?*

YesNo
High School Information
Have you already completed high school and been enrolled in college? If yes, you may skip this section.*

YesNo
ACT Score*
High School GPA*
High School Ranking [Do not submit your application without your class rank (e.g., 5/120). “Star Student” or “Not available” is not accepted.]*

ValedictorianSalutatorianOther (Please List Rank/Class Size)
Name of High School*
High School Counselor*
Counselor's Email Address*
College Information
School You'll Be Attending for the 2026-2027 Academic Year*
Anticipated / Current Major*
Classification for the 2026-2027 Academic Year*
Semester You Intend to Enroll*
Will you commute or reside on campus?*
Tri State scholarships may be applied to the following charges, provided they are billed through your school and are not covered by other financial aid. Please select all items for which you are requesting assistance.*

TuitionFeesOn-Campus Housing / DormitoryOn-Campus Meal PlanBooks and Supplies
List all of the scholarships and financial aid for which you have applied for the 2026-2027 academic year.*

0/600
Of the scholarships/financial aid you listed above, which (if any) have you been awarded?*

0/600
Family Information
Family Income Range*
Parent/Guardian(1) or Spouse*

First NameLast Name
Phone Number of Parent/Guardian(1) or Spouse*
Please enter a valid phone number.
Address of Parent/Guardian(1) or Spouse*

Street Address or P.O. Box

Apt/Unit #

CityState

Zip Code
Employer of Parent/Guardian(1) or Spouse*
Do you have two parents/guardians? If yes, complete information for Parent/Guardian(2).*

YesNoI'm married, and my spouse's information is listed above.
Parent/Guardian(2)*

First NameLast Name
Phone Number of Parent/Guardian(2)*
Please enter a valid phone number.
Address for Parent/Guardian(2) is the same as Parent/Guardian(1)*

YesNo
Address of Parent/Guardian(2)*

Street Address or P.O. Box

Apt/Unit #

CityState

Zip Code
Employer of Parent/Guardian(2)*
Special Circumstances
Are there any special or unusual problems or circumstances of which the selection committee should be aware?*

YesNo
If yes, please explain:*
Attachments
Upload Photo*

This should be your yearbook photo, senior photo, or similar.
Cancelof
Upload Most Recent High School OR College Transcript*

Cancelof
Upload Letter of Recommendation*

Your letter of recommendation may be from anyone other than a relative.
Cancelof
Upload 2026-2027 FAFSA Submission Summary*

Make sure your estimated award amount, if applicable, AND Student Aid Index (SAI) number are listed. If this information is NOT LISTED, your application will be deemed incomplete.
Cancelof
Should be Empty:

Tri State Educational Foundation Scholarship Application (Fall 2026 + Spring 2027)

Personal Information

High School Information

College Information

Family Information

Special Circumstances

Attachments