Scholarship Application Please review the scholarship criteria before completing this form! Applications will be accepted until March 20, 2020. Personal InformationDate* Date Format: MM slash DD slash YYYY Name of Applicant* First Last Address:* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code County*Home Phone Number*Email Address* Enrollment InformationTechnical Program Enrolled In*Agricultural Equipment Technology - First YearAgricultural Equipment Technology - Second YearAssociate Degree Nursing - Second YearAutomated Controls Technology - First YearAutomated Controls Technology - Second YearAutomotive Collision Technology - FIrst YearAutomotive Collision Technology - Second YearAutomotive Technology - First YearAutomotive Technology - Second YearBusiness ManagementBusiness TechnologyCarpentry/CabinetmakingCulinary ArtsDiesel Technology - First YearDiesel Technology - Second YearDigital MarketingElectrical Technology - First YearElectrical Technology - Second YearHeavy Equipment OperationInformation TechnologyPharmacy TechnicianPlumbing, Heating and Air ConditioningPractical Nursing - First YearTelecommunications and Network Technology - First YearTelecommunications and Network Technology - Second YearWeldingCampus*BeloitHaysAcademic Year:*Current NCK Tech Student?*YesNoHigh School Attended*Year of Graduation:*Please review the scholarship eligibility requirements. Application will be submitted for the scholarships listed below AND any General Scholarships that you meet eligibility requirements.Osborne Industries Peterson MemorialWarren JoergOsborne IndustriesEvan Dykes MemorialJacob Gallentine MemorialEvan Dykes MemorialOsborne IndustriesEvan Dykes MemorialJohn Matthews MemorialKenneth & Dorothy Tucker Evan Dykes MemorialDr. and Mrs. CarricoBlueCross BlueShield of Kansas Foundation ScholarshipJohn Matthews Memorial Cunningham CommunicationsGage Cloyd Memorial Evan Dykes MemorialQualification InformationThe following information will be carefully considered by the Scholarship Committee in its selection of Scholarship winners. Therefore, it is important that the applicant complete all sections.List some of your interests, hobbies, achievements, etc.Leadership activities in school and/or community.How will this scholarship assist you in achieving your educational goals?Describe your career plans after graduation from NCK Tech.Final High School GPACurrent College GPAAre you a Veteran?YesNoHave you applied for or received Financial Aid?YesNoWhat Year?Academic AchievementBy submitting this form, I authorize the release of information to the scholarship committee regarding my enrollment status, financial need, and other information pertinent to the selection of the scholarship recipient.CommentsThis field is for validation purposes and should be left unchanged.