Ralph and Edith Apple Presidential Fund Matching Scholarship Award

Application
Name

First NameLast Name
ECC ID Number
Date of Birth

MonthDayYear
Birth Place
State
Address

Street Address

Street Address Line 2

CityState

ZIP Code
Primary Phone Number
Please enter a valid phone number.Format: 000-000-0000.
Secondary Phone Number
Please enter a valid phone number.Format: 000-000-0000.
Sex

Other
Email
Marital Status
If custodial parent, list names and ages of children
Ethnicity (Optional)

Other
Check One
Academic Information
High School Attended
High School Graduation Date

MonthDayYear
High School GPA, if new grad
GED if applicable
Academic Status
Current Credit Hours Enrolled at ECC
Total Credit Hours Completed at ECC
Total Credit Hours Completed Elsewhere
What is your Major/Area of Interest?
Will you Enroll in the 2024 - 2025 school year?
How many credit hours will you enroll each semester?
Have you completed a FAFSA
Do you qualify for federal financial aid
How did you learn about opportunities at ECC?
Signature

Clear
Date

MonthDayYear
Should be Empty: