Scholarship Application

Personal Information

Which scholarship are you applying for?  
MCC Student ID #:
High school students must complete an
application for admission
to receive an ID.
 
First Name:  
Last Name:  
Address:  
City:  
State:  
Zip:  
Phone:
Example format: (555) 555-5555
 
Email:  
Are you a high school student?
Fall Semester Enrollment:
Spring Semester Enrollment:
Academic Major:
Degree / Certificate Program:
Receiving FAFSA (Free Application Federal Student Aid)?
Receiving BOGW (CA Board of Governors Enrollment Fee Waiver)?
Disabled Students Programs & Services (DSPS)?
Extended Opportunity Programs & Services (EOPS)?
Reentry Student (25 years or older)?
International Student?
Single Parent?
Military?

Personal Statement

Education and Career Goals  
(state your major, or if undecided, what you hope to learn in college)
   
Extracurricular Activities  
(ex: employment with number of hour/days per week, does your job relate to your career goal, list any past and present volunteer work, clubs or organizations you are involved with, and sports activities)
   
Other Information you would like to share about yourself  
(ex: parent, military, overcame a hardship in your life to get where you are today, what is your financial need, and state how a scholarship will help)

Award Process

All students will be notified by email.

Financial Aid recipients may have their financial aid award reduced to accommodate scholarship dollars, contact the Financial Aid Office for additional information.

I hereby authorize the release of this information to staff, faculty members, and donors. By submitting this application, I certify that the answers I have given and the material I submitted are true and correct.

If awarded a scholarship, MiraCosta College may release my name to the Chariot and/or local press.

Terms of Agreement

I realize that it is my responsibility to inform the Scholarship office of any changes to my contact information.

How did you hear about this scholarship?

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