Itasca Community College

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Best Start

FACTS Payment Plan

New Students

Engineering Scholarship Application

Fall 2009/Spring 2010
Application Deadlines

High Achieving Student Scholarship

November 1st - First Priority Deadline
January 15th - Second Priority Deadline

National Science Foundation Scholarship

March 13, 2009-First Priority Deadline

Applications received after these dates will be considered providing funds are still available

First Name
Last Name
Address
City, State, Zip
Phone
Email (required)
High School
Grad. Year
HS GPA
ACT Score (if taken)
Name of HS Teacher Reference

I have received my FAFSA and am eligible for financial aname.
I have submitted, but not yet received my FAFSA results.
Other

List all high school/college classes taken and grade earned in the following topics:

Math

Course Grade

Science
Course	Grade

Technology

Course Grade

Please check the engineering scholarships you are applying for:

High Achieving Student Scholarship
National Science Foundation Scholarship

or

If you have any questions or difficulty completing this form, please contact:

Kim Damiani
ICC Engineering
1851 E. Hwy 169
Grand Rapids, MN 55744
218-322-2370
kimberly.damiani@itascacc.edu

Itasca Community College
1851 East Highway 169, Grand Rapids, MN 55744-3397
1-800-996-6422 or 218-322-2300
Fax: 218-322-2332

We Are An Equal Opportunity Educator and Employer
This document is available in alternate formats, 218-322-2433
© 2008 Itasca Community College

A member of the Minnesota State Colleges and Universities

FACTS Payment Plan

New Students

Engineering Scholarship Application

Fall 2009/Spring 2010Application Deadlines

Fall 2009/Spring 2010
Application Deadlines