NCCIA 2023 Student Nomination Form
The scholarship recipient must be a full-time student majoring in a computer-related program with a cumulative or program grade point average of 3.0 or higher.

Purpose: To financially assist full-time students who are currently majoring in a computer-related program and who have completed at least one semester with a 3.0 or higher cumulative or program grade point average.

Student and nominating faculty forms for the 2023 scholarships MUST be completed on or before February 1, 2023.  

Scholarship recipients will be notified on or before February 21, 2023.

NOTE: If the student is selected for a scholarship, contents of this application will be used in conference publications.

Please direct any questions about NCCIA Scholarships to Joey Bryant at jobryant@forsythtech.edu
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Student Name (first and last name) *
Student College *
Student email (must use college email address) *
Student Phone *
Student Program of Study *
Student Grade Point Average: Cumulative *
Student Grade Point Average: Program *
Nominating Instructor Name (first and last name) *
List of honors/academic awards/recognitions received while in your program of study. *
Why did you select your program of study? *
Briefly describe (in a short paragraph) your extracurricular activities while in your program of study. *
How will a scholarship impact your plans for the future? *
Is there any other information we should know about you? (Enter NA if not applicable). *
If you are selected for a scholarship, you will be asked to submit a phot for conference publications. The image will be needed within one week of notification. *
If you are selected for a scholarship, will you attend the conference? (Hotel accommodations will be provided if distance traveled is 3 or more hours one-way). *
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