Graduation Scholarship Application

Please refer to the Scholarship Guidelines before completing this form
Graduation scholarships are only for students who have completed their program of study at DCC and have had a graduation application completed and accepted.
This graduation scholarship application is only for students who will graduate in the current academic year and have not started classes at another institution.
The graduation scholarship application is only available until 11:59 p.m. on March 31.

Personal Information

Last Name

First Name

Middle Initial

Date of Birth

DCC Student ID Number

Mailing Address

City

ZIP Code

City/County of Residence

Phone Number

Program of Study at DCC (please be specific)

Number of Credits Completed at DCC

Expected Graduation Date

Transfer Institution

Program of Study at Transfer Institution

Have you been accepted into the institution?

Yes

Date application to transfer institution was submitted

Educational goals:

Leadership activities:

Citizenship activities:

Club memberships:

Achievements (college honors received, college scholarships awarded, etc.):

Please include a grammatically correct paragraph (300 word minimum) about yourself, your goals, and your reason(s) for applying for this scholarship