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Hawkeye Community College Technology Camp Scholarship Application
Application for scholarship to supplement the family contribution toward a child's registration fees. One scholarship per child per year.
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Name of student:
Your answer
Student Birthdate:
MM
/
DD
/
YYYY
Name of parent/guardian making application:
Your answer
Parent Phone number:
Your answer
Mailing address:
Your answer
City, State ZIP:
Your answer
Email:
Your answer
Student’s School as of Spring 2023
:
Your answer
We must verify financial need in order to comply with the funding guidelines from our sponsors. The information that you provide will be kept confidential. Please check if your child or the child’s household receives assistance through:
Free or Reduced School Lunch
SNAP Benefits
Child Care Subsidy
WIC
Title XIX
Hawk-I insurance
Other:
Please explain why you are requesting financial assistance:
Your answer
How much are you able to pay towards your student’s camp fee?
Your answer
By checking the box below, you assure that the information above is correct and you authorize Hawkeye Community College Foundation to verify participation in the financial assistance program(s) indicated above.
I agree with the statement above
Name of person completing form:
Your answer
Relationship to student
Your answer
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