ACEC Certificate/Apprenticeship Scholarship Form

Be 16-24 years of age
Attend or attended an Adams County high school or live in Adams County
Be enrolled in a certificate program through concurrent enrollment, or enrolled in a certificate program at a community college or technical college, or enrolled in an apprenticeship program
Complete the scholarship application below
Get a free estimate of your federal student aid by completing the FAFSA4caster https://studentaid.ed.gov/sa/fafsa/estimate

If awarded a scholarship, additional information may be required prior to receiving the scholarship.

Scholarship Essay Requirements

From a financial standpoint, what impact would this scholarship have on your education? (250 words or less)*

State any special personal or family circumstances affecting your need for financial assistance. (250 words or less)*

What are your education and career goals? (250 words or less)*

Name*

First Last

Date of Birth*

MM

DD

YYYY

What high school do you currently attend or did you attend?*

Country of Citizenship*

Country

Student ID Number

Phone Number*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Email Address*

Post-Secondary Institution*

Are you enrolled in a certificate or apprenticeship program?*

What is the name of your class/program/apprenticeship?

What occupation are you interested in pursuing?*

Date of program start*

MM

DD

YYYY

Barriers to Education*

Please check all items that are barriers to your enrollment and program completion

Please state other:

What is your Estimated Family Contribution (EFC) as detailed in your FAFSA4caster?*

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Name

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