Workforce Education Scholarship

Application For Scholarship

TVCC Workforce Education Programs
Complete the scholarship application by the required deadlines. The completed application will be sent to the Foundation for review.

Applications not completely filled out or without the appropriate attachments will not be considered.
Name:

First NameMiddle NameLast Name
TVIN-DOB:
TVCC Workforce Program:
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address:

Sources & Amounts of Income

Rows	Amount of Income $
Current Annual Family Income
Child Support (Monthly)
Pell Grant (Semester)
WIOA
Food Stamps/Govt. Subsidy (Monthly)

Application for Scholarship
Describe factors that contribute to your need for the scholarship for which you are applying:
Attach a letter explaining why you desire the scholarships requested.

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Application for Scholarship
State law requires that each student identify any relation to a current Board of Trustees member. A student who is related to a current member of the governing board of that institution is prohibited from receiving scholarships unless the scholarship is awarded exclusively based on academic merit or is an athletic scholarship.

It is a Class B misdemeanor to file a false statement. Please review a list of current Trinity Valley Community College Board of Trustees members at www.tvcc.edu/about/trustees.aspx

Select the most appropriate answer below indicating your relation to any of the Board of Trustees members.
Relationships:

I affirm and certify that all the information and answers to questions are complete, true and correct to the best of my knowledge and belief.
Date of Application

MonthDayYear
Date
Signature of Applicant:

Clear
TVCC is an affirmative action/equal opportunity institution which provides educational and employment opportunities on the basis of merit and without discrimination or harassment because of race, color, religion, sex, national origin, age, or disability.
Should be Empty:

Application For Scholarship