CCAA Scholars Program Application

Student Information

Student ID Number:*

First Name: *

Maiden Name (if applicable):

Last Name: *

Date of Birth:*

Preferred Mailing Address: *

City:*

State:*

Zip:*

Preferred Email Address: *

Location Attending: *

Current Major: *

Has someone in your immediate family (parent, sibling, child, grandparent) graduated from Columbia College?

Yes

Graduate(s) name at time of graduation:

Graduation Year(s):

Relationship to you:

Application Checklist

By checking, you acknowledge that you meet the stated criteria:

Active undergraduate or graduate student currently pursuing a degree

Minimum Columbia College GPA of 2.75

Completed 24 credit hours with Columbia College

In good standing with the college

Will enroll for classes in the August 2020 academic session

When enrolling for the August 2020 session, I will be a:

Full-time student

Part-time student

Current GPA:

Personal Statement

Describe what your time at Columbia College means to you and/or how you benefit from Columbia College (100 words maximum):*

By submitting this application, I agree to allow the appropriate individuals involved with the scholarship selection process to review my academic file. If awarded a scholarship, I agree to allow my name and my image to be published as a recipient. In submitting this application, I certify that the information given is complete and correct to the best of my knowledge.