Virginia Tobacco Scholarship Application Packet (Page 3 of 4) in pdf

Virginia Tobacco Scholarship Application Packet Page 3

Virginia Tobacco Settlement Program

Southwest Virginia Community College

Family member is defined as spouse, child, son/daughter in-law, or grandchild of someone who was a tobacco

quota owner/producer.

Tobacco quota owner/producer is defined as a Virginia resident who is listed by the local FSA Office or who

can provide documentation of quota owner/producer activity at any time since 1998.

Tobacco grower is defined as an individual who has grown tobacco for a former tobacco quota owner or

producer.

Virginia resident is defined as a person who has lived in Virginia for the last twelve months and has no ties

with any other state including driver’s license, state tax returns, voter registration, or auto registration.

If you have not applied for Federal Financial Aid, please bring proof of the income information listed

below to the Financial Aid Office for assistance with the application process.

Student & Spouse

Parent (if dependent)

2015 Adjusted Gross Income from Federal

Income Tax Return (if filed):

$ _____________

$ ____________

Social Security Benefits received in 2015:

$ _____________

$ ____________

Other Untaxed Income in 2015:

$ _____________

$ ____________

Child Support Received in 2015:

$ _____________

$ ____________

Married?

Yes or No

Please complete the following and return to: Financial Aid, Southwest Virginia Community College, P.O. Box

SVCC, RICHLANDS, VA 24641, Phone (276) 964-7291. If you have not received written notification of your

tobacco settlement funds within 14 days after submitting this application, please call Jenna Hovis at

(276)

964-7291.

It will be necessary for you to complete an Application for Admission to SWCC if you have not previously

applied or have not taken classes at SVCC in the past twelve months.

Virginia Tobacco Scholarship Application Packet Page 3