Continuing Education Scholarship Application

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JOHNSON COUNTY COMMUNITY COLLEGE

WORKFORCE DEVELOPMENT & CONTINUING EDUCATION SCHOLARSHIP APPLICATION

The purpose of the Workforce Development & Continuing Education Scholarship Fund is to provide an opportunity for unemployed, underemployed, or dislocated workers to be retrained and reemployed following completion of a Johnson County Community College (JCCC) Workforce Development & Continuing Education (WDCE) training program.

Please visit www.jccc.edu/CEScholarship to review eligibility criteria and for information regarding the application process prior to completing the form.

First Name:

Last Name:

JCCC ID#:

Address:

City:

State:

Zip:

Contact Number:

Email:

Date of Birth:

Gender:

Class/ Program applying for:

Course Code(s)

Class Start Date:

Class End Date:

How much funding are you applying for?

Please complete the following questions:

Please explain in detail (1-2 paragraphs) why you want to enroll in this continuing education program. Please answer the following questions in your response: What are your short-term and long-term career goals? How would this financial assistance help you reach those goals? How do you plan to use this education to contribute to your community or industry?

Does this course/certificate fully prepare you for your career goals, or do you plan to continue your education? Would you need further education or certifications in order to become employed? Please explain in detail (1-2 paragraphs).

Are you currently receiving any other financial assistance to attend school (past, present or future employer, or scholarship, grants federal assistance)?

Yes

With your other commitments in mind, how much time can you realistically set aside each week to focus on achieving your goal? How do you plan to allocate time for this course alongside your other obligations to ensure your success? Please explain in detail (1-2 paragraphs).

Would you like to provide any further information that could help the committee better understand your need for this scholarship?

Yes

If awarded a JCCC Continuing Education scholarship, I agree to write a note of appreciation to the individual or organization responsible for funding my scholarship.

If awarded, I agree to share with JCCC when I gain employment and the company name.

This checkbox will serve as your electronic signature.

This application is good three months from the date of completion.

*For your protection, as the FAFSA form contains personally identifiable financial information, we do not recommend emailing the form as email is not inherently secure.

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