Trustee Award & Collegiate Scholarship Application

Requirements

Required items for the Trustee Award and Collegiate Scholarship applications:

Submission of the form below
Copy of FINAL OFFICIAL high school transcripts

I am applying for the* Trustee Award Scholarship
Collegiate Scholarship

Contact Information

First Name*

Middle Name*

Last Name*

Gender* Male
Female

Date of Birth (MM/DD/YYYY)*

Home Address*

City*

State/Prov.*

Zip*

Phone Number*

County of Residence*

Academics

High School GPA*

High School Name*

High School Graduation Year*

Plan to Enroll at Southwestern*

High School Transcript* I have a digital copy of my FINAL official transcript.
I will mail a copy of my FINAL official transcript.

Select and upload your transcript*

By checking this box and clicking the submit button you are digitally signing this form and your computer's IP address will be logged to our database.

Data Consent* I agree that by submitting this form/application to Southwestern Community College, I give consent to Southwestern to store and use personal and academic-related information for all recruitment and academic records-related activities. I also agree to allow Southwestern to use multiple forms of communication for the purpose of recruitment and academic-related information during my academic career. I understand that if I do not agree to this statement, this form/application cannot be submitted.

Check the Box

It is the policy of Southwestern Community College not to discriminate in its programs, activities, or employment on the basis of race, color, national origin, sex, disability, age, sexual orientation, gender identity, creed, religion, and actual or potential family, parental or marital status. If you have questions or complaints related to compliance with this policy, please contact: Equity/Title IX Coordinator, Southwestern Community College (Administration Center), 1501 W. Townline St., Creston, IA 50801; phone, 641.782.1456; or email, TitleIXCoordinator@swcciowa.edu, or the Director of the Office for Civil Rights, U.S. Department of Education, John C. Kluczynski Federal Building, 230 S. Dearborn Street, 37th Floor, Chicago, IL 60604-7204; phone, 312.730.1560; fax, 312.730.1576; TDD, 800.877.8339; or email, OCR.Chicago@ed.gov.

Trustee Award & Collegiate Scholarship Application

Trustee Award & Collegiate Scholarship Application

Requirements

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