Workforce Short-Term Training Scholarship Application

WCC Student ID#

If you have never attended a Virginia Community College, you may enter seven 0's in this field.

If you have previously attended Wytheville Community College or any other Virginia Community College, please enter your student ID# in this field

WCC Student ID# Confirmation

Please enter your WCC Student ID# again for verification.

If you do not have a student ID#, please enter the following: 0000000

Title

First Name

Last Name

Suffix

Address

Please include apartment #, if you live in an apartment

Address 2

City/Town

State/Province

ZIP/Postal Code

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Please add your physical address if different from mailing address.

Preferred Contact Phone #

Alternate Contact Phone #

Preferred Contact Method

Text Messages

Yes, I agree to accept text messages from the WCC Foundation Office

No, please do not contact me by text message.

Year of Birth

County you reside in

What high school did you attend?

Graduation Year

OR Year of GED Received

What certification or training program do you plan to enroll in?

What semester do you anticipate starting the above Workforce Short-Term Training Course?

WCC semesters run from:

Fall - August to December

Spring - January to May

Summer - late May to July

Are you an honorably discharged Veteran?

Yes

Do not wish to answer

Application Essay

Please type a short essay in the space provided. Please use this section to tell the WCC Scholarship Award Committee about yourself without using your name.

You may include any of the following in your essay: Educational and career objectives; proposed future occupational or professional field and continue educational goals (if known) and how the scholarship will help you achieve your goals.

Financial Need: Please explain any unusual circumstances that affect your financial need.

Workforce Short-Term Training is not eligible for Financial Aid, therefore you are not required to complete a Free Application for Federal Student Aid (FAFSA). If you decide you would like to take credit courses, you will be required to complete a credit scholarship application and FAFSA.

Have you been in contact with WCC Workforce Staff regarding Workforce Short-Term Training Programs?

I authorize Wytheville Community College to release any information requested to the WCC Workforce Development Office.

I authorize the WCC Foundation Office to verify information contained in this application.

I hereby certify that, to the best of my knowledge, the information submitted in this application is complete and correct.

Discrimination Policy

Wytheville Community College does not discriminate on the basis of race (or traits historically associated with race including hair texture, hair type, and protective hairstyles such as braids, locks, and twists);, sex, color, national origin, religion, sexual orientation, gender identity, age, political affiliation, genetics, veteran status, pregnancy or childbirth, or disability when the person is otherwise qualified in its educational programs and activities or employment. The following person has been designated to handle inquiries regarding the non-discrimination policies: Malinda Eversole, Director of Human Resources, 105 Carroll Hall, 1000 East Main Street, Wytheville VA 24382, 276-223-4869. For further information, see the list of OCR enforcement offices for the address and phone number of the office that serves your area, or call 1-800-421-3481.

Students Name

Parent or Guardian Name