Student Application Form For Barnes And Noble Scholarship Page 2

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I AFFIRM THAT THE INFORMATION SUBMITTED ON THIS FORM IS COMPLETE AND
ALL ATTACHMENTS ARE ACCURATE, TO THE BEST OF MY KNOWLEDGE.
_____________________________________________________
SIGNATURE
PLEASE BE ADVISED THAT ALL INFORMATION ENTERED ON YOUR APPLICATION FORM
MUST BE LEGIBLY WRITTEN OR TYPED, AND ALL OF THE FOLLOWING MUST BE
INCLUDED:
YOUR TYPED ESSAY
ONE TEACHING FACULTY RECOMMENDATION
A COPY OF YOUR REGISTRATION OR BURSAR’S RECEIPT FOR THE CURRENT SEMESTER
A COPY OF YOUR MOST RECENT NCC TRANSCRIPT
A SELF-ADDRESSED STAMPED ENVELOPE (USE APPROPRIATE POSTAGE)
SIGNED APPLICATION
NOTE: FAILURE TO INCLUDE ANY OF THE ABOVE WILL RESULT IN THE
DISQUALIFICATION OF YOUR APPLICATION.
SUBMIT YOUR COMPLETED APPLICATION TO THE NASSAU COMMUNITY COLLEGE
RD
FINANCIAL AID OFFICE (TOWER BUILDING, 3
FLOOR).
COMMITTEE USE ONLY
COMMITTEE USE ONLY
COMMITTEE USE ONLY
I
?
Y
_________
N
__________
S THE APPLICATION COMPLETE
ES
O
P
__________________________________________________________
LEASE LIST MISSING ITEMS
D
?
Y
__________
N
__________
OES THIS APPLICATION MEET DONOR CRITERIA
ES
O
I
,
? ____________________________________________________________________
F NOT
WHY
R
’
C
:
EVIEWER
S
OMMENTS
A.
I
____________ D
____________
R
____________
NITIALS
ATE
ATING
C
______________________________________________________________
OMMENTS
B.
I
____________ D
____________
R
____________
NITIALS
ATE
ATING
C
______________________________________________________________
OMMENTS
C.
I
____________ D
____________
R
____________
NITIALS
ATE
ATING
C
______________________________________________________________
OMMENTS
2

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