Paul D. Camp Community College Nursing Scholarships Application
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Non-discrimination Statement: Paul D. Camp Community College does not discriminate on the basis of race, color, national origin, sex, disability, or age in its programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Human Resources Manager; 100 N. College Drive, Room 103, Franklin, VA 23851; 757-569-6708.
Please read through the questions on this application and prepare your answers before filling them in. You can hit the back button at the bottom of the page and it will save your answers temporarily. However, if you close out the application before you hit the submit button, your answers will not be saved. When you are finished filling out the application, make sure you press the submit button before leaving the application.
Check the primary location that you are or will be attending *
Name of Scholarship for Which You are Applying: *
Date first enrolled at Camp
Credit Hrs. Completed
Cumulative GPA
Expected date of graduation
Last Name
First Name
Middle
Date of Birth
MM
/
DD
/
YYYY
Address
City
State
Zip Code
Telephone Number (Home, Work, Cell)
Major course of study/Intended Field of Study
Extracurricular Activities and Honors
Are you a student athlete
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Essay Instructions
If your scholarship requires an essay, please provide the information below.  If your scholarship does not require a specific essay, please tell us about a) your previous achievements, b) your financial need and c) your educational goals. Your essay must be 300-500 words, well-organized, proofread, and free of grammatical errors.
Please copy/paste your proofread essay into the space below *
To Send In Additional Support Documentation:
Please email us at scholarships@pdc.edu with any additional paperwork needed, such as reference letters, transcripts, etc. References should speak to your academic and extra-curricular work, as well as your character. Please check the scholarship listing for any additional documentation required. Thank you.
Notice
I certify that the information I have provided in this application is true and complete to the best of my knowledge. I authorize the Office of Admissions & Records and the Office of Financial Aid to release information about me to the appropriate scholarship committee. I understand that I must complete the financial aid application process to be considered eligible for any scholarships. All Camp scholarships require a Free Application for Federal Student Aid (FAFSA) with our school code (009159) in order to be eligible. If I am selected for a scholarship, I authorize release of biographical information for use in publicity related to the scholarship and/or other information as needed for other marketing activities. (please enter your full name as your digital signature)
Digital Signature *
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