CCI College Bound Scholarship Application

Education and Volunteer Information
YesNo
Whoops!

It looks like you accessed the wrong application.

As a student at Trenton Central High School, you are not eligible for CCI College Bound Scholarship. However, you are eligible for the Betty V. Coles Scholarship, which offers the same award, but was created exclusively for TCHS students .

Use the link below to access the correct application.

https://form.jotform.com/260354230243142
What school do you attend?*
PublicCharterPrivateHome School
What is your school's address?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Expected to Graduate*

MonthDayYear
Date
GPA*
Name of School Counselor*
School Counselor's Email Address*
example@example.com
Have you received any awards and/or honors? If yes, please provide a list below.*
Are you a member of any clubs, teams, or organizations in your school? If yes, please provide the name of all school clubs/teams/organizations you are part of and your role below.*
Are you a member of any organizations outside your school? If yes, please provide the name of all organizations you are part of and your role below.*

Please list the schools to which you have applied.*

Financial Information
YesNo
What is your family's joint annual income*
YesNo
Are you working? If yes, please provide details below*
YesNo
Please tell us which scholarships you have applied for.
YesNo
Upload a copy of your entire SAR Report (Student Aid Report). This is the report you receive after completing your FAFSA (Free Application for Federal Student Aid) application. *Please do not submit any other reports or confirmations. Our team must be able to view the report in its entirety.**

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Personal Statement
We would love to learn more about you. In your own words, please tell us anything more you would like us to know about you and how receiving this scholarship will help you. Your statement should be typed in either Times New Roman, Arial, or Calibri 12pt font, double spaced, and a minimum of 300 words.
Please upload your personal statement here.*

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Acknowledgments and Authorization
I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE DISMISSAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.
Applicant's Signature*

Clear
Name of Applicant*

First NameLast Name
Date Signed by Applicant*

MonthDayYear
Date
Should be Empty:

Rows	Name of Community Organization	Name Community Service Project	Location of Project	Description of Project	Your Role	Number of Hours Volunteered.
Project 1
Project 2
Project 3
Project 4
Project 5
Project 6
Project 7
Project 8
Project 9
Project 10

Personal Information