2025-2026 Foundation Scholarship Application

JSCC Student ID Number (required)

Name (required)

Gender
—Please choose an option—MaleFemale

Date of Birth (required)

Email Address (required)

Address (required)

Primary Telephone Number (required)

Secondary Telephone Number

Do you claim to be a legal resident of North Carolina?
YesNo

County of Residence

Are you a U.S. Citizen?
YesNo

Please select your marital status
SingleMarriedSeparatedDivorced

Do you live with your parents?
YesNo

Planned Program of Study (required)
—Please choose an option—Accounting & Finance, AASAgribusiness Technology, AASAgriculture Education, AASApplied Animal Science Technology, AASAssociate Degree Nursing, AASBusiness Administration, AASCosmetology, AASCriminal Justice Technology, AASDiesel and Heavy Equipment Technology, AASEarly Childhood Education: Career/Terminal Track, AASEarly Childhood Education: Transfer/Licensure Track, AASEarly Childhood Education: Transfer/Non-Licensure Track, AASElectrical Systems Technology, AASGraphic Design, AASIndustrial Systems Technology, AASInformation Technology: Information Systems, AASInformation Technology: Network Management, AASOffice Administration, AASSchool Age Education, AASSwine Management Technology, AASAssociate in ArtsTeacher Preparation, AA911 Communication and Operations Collaborative ProgramAssociate in General Education, AGEAssociate in ScienceTeacher Preparation, ASAccounting and Finance Basic Accounting CertificateAccounting and Finance Bookkeeping CertificateAgribusiness Technology Agronomy CertificateAgribusiness Technology CertificateAgriculture Education CertificateApplied Animal Science Technology CertificateBasic Law Enforcement Training CertificateBusiness Administration CertificateBusiness Administration Entrepreneurship CertificateBusiness Administration Supervision CertificateCosmetology CertificateCosmetology Instructor CertificateCriminal Justice Technology CertificateDiesel and Heavy Equipment Technology Advanced CertificateDiesel and Heavy Equipment Technology CertificateEarly Childhood Administrator CertificateEarly Childhood Worker CertificateElectrical Systems Technology CertificateElementary Education Residency Licensure CertificateGraphic Design Basics CertificateGraphic Design Web Design CertificateIndustrial Automation CertificateIndustrial Design CertificateIndustrial Systems Technology CertificateInfant/Toddler Care CertificateInformation Technology Computer Support Technician CertificateInformation Technology Foundations of Web Development CertificateInformation Technology Networking CertificateMechanical Systems CertificateOffice Administration Customer Service CertificateOffice Administration General Office Assistant CertificateOffice Administration Virtual CertificateSchool Age Education CertificateSwine Management Technology CertificateWelding Technology CertificateAccounting & Finance DiplomaAgribusiness Technology DiplomaAgriculture Education DiplomaApplied Animal Science Technology DiplomaBusiness Administration DiplomaCosmetology DiplomaDiesel and Heavy Equipment Technology DiplomaElectrical Systems Technology DiplomaGeneral Occupational Technology DiplomaGraphic Design DiplomaIndustrial Systems Technology DiplomaInformation Technology DiplomaOffice Administration DiplomaPhysical Therapist Assistant Collaborative ProgramPractical Nursing DiplomaSwine Management Technology DiplomaWelding Technology Diploma

Have you applied for financial assistance through FAFSA? (required)
YesNo

What forms of Financial Aid have you been offered so far? (select all that apply)
Pell GrantWIOAStudent LoansVA BenefitsOther Financial Aid

Please select your current educational status (required)
Currently enrolled in high schoolReceived high school diplomaReceived adult high school diploma or GEDReceived a post-secondary degreeCompleted some post-secondary courses but no degree

Name of High School (required)

City & State

Date of High School Graduation (MM/DD/YYYY) (required)

If you are a current high school student, will you have completed at least 3 JSCC courses by Spring 2025?
YesNo

Educational Activities (required)

Volunteering & Community Service (required)

Awards & Recognition (required)

Work Experience (required)

Why are you interested in the degree pathway you have chosen to pursue at JSCC? (required)

Future Educational Goals/Plans (required)

Is there any additional information you'd like to provide? (required)

Personal Essay: Share how people or experiences have influenced your values and goals (required)

Please ensure that your references are professional and not personal; family members and friends are not acceptable.
Reference #1 Name (required)

Reference #1 Address

Reference #1 Telephone Number (required)

Reference #1 Email Address (required)

Reference #1 Relationship to You (required)

Reference #2 Name (required)

Reference #2 Address

Reference #2 Telephone Number (required)

Reference #2 Email Address (required)

Reference #2 Relationship to You (required)

Are you a first generation college student? (required)
YesNo

Do you intend to pursue a baccalaureate (4-year) degree after graduation from JSCC? (required)
YesNo

Do you work? (required)
YesNo

Do you work in childcare? (required)
YesNo

Do you plan to take evening courses? (required)
YesNo

Do you pay property taxes in Mount Olive? (required)
YesNo

Do you live in the Chinquapin, Cypress Creek, or Fountain Town areas? (required)
YesNo

Do you live in the Albertson area? (required)
YesNo

Do you live in the Greenevers area? (required)
YesNo

Are you a child or spouse of a Rotary Member? (required)
YesNo

Were you an orphan or foster child? (required)
YesNo

Are you an employee of McDonald's? (required)
YesNo

Are you a member of Four County EMC or live in a Four County EMC serviced home? (required)
YesNo

Are you a child of a Farm Bureau member? (required)
YesNo

Are you a veteran of the US Armed Forces? (required)
YesNo

Are you a child of a veteran? (required)
YesNo

Are you a member of the Spartan Men of Distinction Academy? (required)
YesNo

Are you a member of Women of Tomorrow? (required)
YesNo

Do you attend Stanford Presbyterian Church? (required)
YesNo

Do you attend Friendship Methodist Church? (required)
YesNo

Are you a single parent? (required)
YesNo

Do you have a financial need? (required)
YesNo