Foundation Scholarship 2025-2026

Application is due in the NSCC Financial Aid Office by 4:00 pm on February 14, 2025

About You

N#

First Name

Last Name

Birthdate

Contact Information

Email

Cell Phone

Home Phone (opt.)

Mailing Address

Country

Street

City

Region

Postal Code

Henry County residents must provide copy of unexpired state ID

Student Information

Projected NSCC Graduation Date

I am attending:

I have filled out the 2025-2026 FAFSA?

Yes

No

Family Information

I or a family member is employed at one of the following companies? *Check all that apply*

*Your name and family members name will be shared with a company representative to verify employment*

Name of family member

Relationship

I have an immediate family member that is a graduate of NSCC?

Yes

No

Name of Graduate

Relationship

Last 4 digits of their SSN

Graduates date of birth

I or my spouse/parent(s) are a Veteran?

Yes

No

Relationship

Short Responses

Describe how a scholarship will impact your educational goals.

Describe your involvement/volunteering in your community or on campus.

Share any information you would like the scholarship committee to know about your (i.e. financial, personal, educational, etc.).

Scholarships Needing Additional Information

I live in Henry County

Yes

No

Francis O. Fackler - Henry County Students
Eligibility: Student must be a current resident of Henry County and have a minimum 2.5 cumulative GPA. Must provide a copy of an unexpired driver’s license or State ID to verify Henry County address if mailing your application. You must show the ID to the financial aid worker if bringing the application to our office, and we will verify it for you.

I am a member of PTK?

Yes

No

PHI THETA KAPPA International Honor Society Scholarship
Eligibility: Any second year student (30 or more credits earned) maintaining 3.5 GPA or higher. Must be a member of PTK. In addition to the scholarship application, students must submit a typed essay including personal, academic and career goals, significant life experiences, accomplishments, school and/or community activities and an explanation of your financial need.

I am pursuing Criminal Justice/Law Enforcement.

Yes

No

Allan Ohlrich
Eligibility: Students must submit a 300-500 word typed essay describing why they chose a degree in Criminal Justice / Law Enforcement Academy.

Student Signature

Information obtained through this application and from your student record will be shared with the scholarship committee in order to successfully determine scholarship eligibility. By signing this form, I Certify that all the information reported is complete and correct. If selected as a scholarship recipient, I give permission for my name to be shared in marketing materials and press releases.

Student Signature

Signed Date

Northwest State Community College does not discriminate on the basis of race, color, national origin, sex, gender identity, disability, religion or age in its programs or activities.