STEM Scholarship Application

First Name

Last Name

Date of Birth

CWC Student ID

Phone Number *

I am applying for *

Spring 2024 Summer 2024 Fall 2024

Have you experienced any of the following financial hardships? (Please select any of the statements below that represent your current circumstances).

Experiencing food insecurity (skipping meals regularly due to insufficient funds) Underemployed due to childcare or transportation costs – (current position does not use one’s full capabilities so the individual attends college part-time or works several jobs to earn money for their living expenses and/or working in a relatively low-skilled, low-wage job beneath one’s skill level) Unemployed – (unable to work and attend community college due to childcare or transportation costs) Reduced college course load - (unable to enroll in additional college credits toward a degree or credential due to childcare or transportation costs) Reduced credits earned in prior academic term – (required to drop credits from prior semester due to increased cost or loss of access to childcare or transportation)

Requirements:

I agree to the following (Must attest to all the requirements below):

The information contained in my application for an emergency grant related to financial hardships experienced by myself is true and accurate. I agree to comply with all of my institution’s applicable policies, procedures and guidelines and agree to work toward completion of a recognized institutional credential

Compliance Certification & Digital Signature *

Locations

Information For

STEM Scholarship Application

Ready to make it happen?

Riverton

Lander

Jackson

Dubois