WED Scholarship Form

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Workforce and Economic Development Scholarship Application

First Name:

Last Name:

Email Address:

Phone Number:

Academic Term:

*Follow these steps to create a Lumens Profile:

1. Visit yorktech.augusoft.net

2. Click on “LOGIN/CREATE ACCOUNT” on the top left of the home page

3. Under “NEW STUDENTS” click on the green Create New Profile button

Student ID

Lumens Profile Username:

Current Employment Information:

If employed:

Current Employer:

# of hours per week:

Current hourly wage:

Select ALL that apply:

I AM NOT currently enrolled in other programming at York Technical College.

I AM NOT currently enrolled in other programming at another SC Technical College.

I AM currently enrolled in other programming at York Technical College.

I AM currently enrolled in other programming at another SC Technical College.

If you cannot attend a class as planned and wish to cancel your registration, you must notify York Technical College Workforce and Economic Development Division in writing at ceadmin@yorktech.edu.

*IF YOU CANCEL REGISTRATION FOR THE CLASS YOU WERE APPROVED, YOUR SCHOLARSHIP WILL BE VOIDED. YOU WILL NEED TO RE-APPLY FOR A FUTURE SCHOLARSHIP, IF AVAILABLE.

Cancellation fees will be issued as follows:

Requests made at least 10 business days in advance of class start: $0 service fee

Requests made less than 10 business days in advance of class start: Forfeiture of scholarship

If the College is forced to cancel a course for any reason, enrolled students will be provided the option to transfer to a later date without penalty.

NOTE: Some certificate programs may have a non-refundable seating fee which applies to each instance of registration.

I acknowledge the cancellation policies and service fees I may be liable for should I fail to follow the cancellation policy as outlined above.

I understand that if I am awarded a scholarship, I agree to provide future employment information to York Technical College for reporting purposes.

Applicant Signature

First Name:

Last Name:

Browse York Tech’s Workforce and Economic Development website (yorktech.augusoft.net) to find the program you are seeking scholarship funds to support.

Look for this icon on a course listing indicating an eligible program.

Students may ONLY apply funds to ONE course.

Please indicate which program would you like to apply your scholarship funding to:

In order for you application to be accepted it is required to upload a copy of your High School Diploma or GED. Click 'Attach File' below to upload the required documents.

High School Diploma or GED

In order for you application to be accepted it is required to upload a copy of your Policies and Procedures. Click 'Attach File' below to upload the required document.

Policies and Procedures

In order for you application to be accepted it is required to upload a copy of your High School Diploma or GED, and Driver's License. Click 'Attach File' below to upload the required documents.

High School Diploma

Driver's License

In order for you application to be accepted it is required to upload a copy of your Program Manager's Approval. Click 'Attach File' below to upload the required document.

Program Manager's Approval

In order for you application to be accepted it is required to upload a copy of your Application for SHRM, Resume, or CV. Click 'Attach File' below to upload the required documents.

Application for SHRM

Resume or CV

In order for you application to be accepted it is required to upload a copy of your Application for PMP, Resume, or CV. Click 'Attach File' below to upload the required documents.

Application for PMP

Resume or CV

In order for you application to be accepted it is required to upload a copy of your CDL-A Permit. Click 'Attach File' below to upload the required document.

CDL-A Permit

In order for you application to be accepted it is required to upload a copy of your SLED check and Driver's License. Click 'Attach File' below to upload the required document.

SLED Check

Driver's License

Declaration of Legal Presence in the United States

As of June 4, 2008, the South Carolina Illegal Immigration Reform Act (S.C. Code Ann: 59- 101-430) prohibits those unlawfully present in the United States from attending a public institution of higher education in South Carolina and from receiving a public higher education benefit:

• An alien unlawfully present in the United States is not eligible to attend a public institution of higher learning in this State, as defined in Section 59-103-5. The trustees of a public institution of higher learning in this State shall develop and institute a process by which lawful presence in the United States is verified. In doing so, institution personnel shall not attempt to independently verify the immigration status of any alien, but shall verify any alien's immigration status with the federal government pursuant to 8 U.S.C. Section 1373(c).

• An alien unlawfully present in the United States is not eligible on the basic of residence for a public higher education benefit including, but not limited to, scholarship, financial aid, grants, or resident tuition.

YORK TECHNICAL COLLEGE may require you to submit documentation that supports your claim for lawful presence. Any student who is found to be unlawfully present in the United States will be dismissed from college.

Check One:

I am a United States Citizen

I am not a United States Citizen (If this box is checked, you must present additional information to the Workforce and Economic Development office before you may attend class)

Residency Information

Determination of Residency will be made in accordance with the South Carolina Code of Laws Title 59. Residency of college applicants is determined at the time of admission.

Dependent Status: Defined as one whose predominant source of income or support is from parents, spouse, guardian who claims the dependent person on his/her federal income tax return. A dependent person's residency is presumed to be that of the person upon whom they are dependent.

Independent Status: Defined as one in his or her majority (eighteen years of age or older) or an emancipated minor, whose predominant source of income is his/her own earnings or income from employment, investments, or payments from trusts, grants, schoarships, commerical loans or payment from trusts.

Are you Dependent or Independent?

Who claims you as a dependent?

First Name

Last Name

What is their relationship to you?

Provide Their Identification Information:

Driver's License or State ID Number

Issue State

Issue Date

Expiration Date

Student's Identification Information:

Driver's License or State ID Number

Issue State

Issue Date

Expiration Date

Student's Current Physical Address Information:

Provide Their Current Physical Address Information:

Address:

City:

State:

Zip:

County:

Have you continuously lived in the state where your current address is located?

Have they continuously lived in the state where their current address is located?

SCWINS Affidavit

SC Wins Scholarship covers tuition and fees after applying all other scholarships and grants for South Carolina residents enrolled in a qualified program. Award amounts may be adjusted or canceled due to changes in enrollment or the availability of funds. If I am a credit student, I understand that I must achieve and maintain a 2.0 cumulative Grade Point Average (GPA) for any renewal award(s). If I am a student registered in an industry-recognized credential, I understand that I must maintain satisfactory progress and meet attendance requirements of the program.

The maximum amount of SC Wins that can be awarded is $5000 per academic year. Students enrolled in an associate degree can receive up to 3 years (9 terms in total) of SC Wins funding. Students enrolled in an industry-recognized credential, a certificate or a diploma program, can receive up to 2 years(6 terms in total) of SC Wins funding.

I certify that I am or that I will complete one of the following requirements:

I am currently employed.

I will complete a FREE - one hour Financial Literacy Course offered by YTC.

I will complete 100 hours of voluntary time contributing to a non-profit or public service organization.

If you are planning to take the Financial Literacy Course, click the link below and sign in using your full name and 5 digit ID number.

<https://bit.ly/YTCLiteracy2023>

Applicant Signature

First Name:

Last Name:

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