Workforce Training Scholarship Application

This application is for Occupational Skills Training offered by the NIC Workforce Training Center that results in certification or licensure. Personal interest classes are not scholarship eligible. For a list of class offerings, see the current Workforce Training Center catalog, or go online to www.nic.edu/wtc

Selection Criteria

• A limited number of scholarships are available. Applications are reviewed and evaluated on the below criteria on a weighted average (points awarded in each category).
  • Financial Need, First Generation, Clear Education Goal, Conviction in Pursuit of Goal Commitment, Prior Education/Training, Prior Scholarship Recipient, Live in Rural Area
• Preference will be given to low income and/or a “first generation” students, (neither parent has obtained a bachelor’s degree).
• Failure to complete any portion of the application greatly reduces your chance of being awarded a scholarship.
• Scholarship awards are for partial costs of registration/tuition. The remaining cost/balance must be paid at time of scholarship acceptance/course registration.
• Scholarships cannot be awarded to reimburse for already enrolled classes.

Award Notification

• Applicants will be notified either by phone or email; please refrain from calling regarding the status of your scholarship.

Award Acceptance

• Scholarship recipients must accept the award and register for class by the registration acceptance/registration deadline indicated on the award letter. Failure to accept/register by the deadline will result in retraction of the scholarship award.
• Proof of residency is required at time of award acceptance as some scholarship funds require Idaho Residency.

Course Information
*Course name
*Course start date
*Course cost
Personal Information
*First name
*Last name
Middle initial
Physical address
*Address line 1
Address line 2
*City
*State	Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana North Carolina North Dakota Nebraska Nevada New Hampshire New Jersey New Mexico New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington West Virginia Wisconsin Wyoming
*Zip
Mailing address (if different)
Address line 1
Address line 2
City
State
Zip
*Email
*Cell phone
Home phone
*Gender
*Date of Birth
*Residency	*Residency US resident Non-resident
*Veteran	*Veteran Yes No
Financial Information
*Family status	Family status Single Married Divorced
*Number of dependent children
*Head of household	Head of household Yes No
*Number in household
*Annual household/family income
*Receiving any government assistance?	Receiving any government assistance? Yes No   Please list WIOA, Food Stamps, Medicaid, WIC, Social Security, etc.
*Please describe your financial need for a scholarship (important – be very specific): Recommended word count: aprox. 500
Employment
*Currently employed	Currently employed Yes No
Employer
Position
Rate of pay
Hours per week
Education
*Please describe your education/training goal and how you plan to achieve it.   Recommended word count: aprox. 500
*Please tell us why you want to obtain this training.   Recommended word count: aprox. 500
*Please tell us how you have demonstrated commitment and follow through with a goal you achieved in school, work, family life, or as a volunteer.   Recommended word count: aprox. 500
*Have either of your parents obtained a college degree (bachelors or above)?	Have either of your parents obtained a college degree (bachelors or above)? Yes No
*Education	Education High school diploma GED   *Date of completion
*Are you a High School Student who can receive dual credit?	Are you a High School Student who can receive dual credit? Yes No
Please list your training and education beyond high school Name of school Location Course of study Degree / certificate attained Name of school Location Course of study Degree/certificate attained
*Have you received a prior scholarship from the NIC Workforce Training Center?	Have you received a prior scholarship from the NIC Workforce Training Center? Yes No
*Do you live in a rural area?	Have you received a prior scholarship from the NIC Workforce Training Center? Yes No
	*I certify that I have read the first section of this application and the information I have provided on this application is correct to the best of my knowledge.
	*I understand that I will need to provide proof of residency upon receiving an award and I consent to provide additional information as requested by scholarship committee.
	*I agree to submit a thank you note and release if I am chosen as a recipient.
*Digital signature