SMaRT - Science, Math and Related Technologies


Scholars for Success Application

Personal Information
Name:
Street Address:
City:
State:
Zip:
Home Phone:
Alternate Phone:
Email:
Sex:	Male Female
Race:	Asian American Indian or Alaska Native Black or African-American Hispanic or Latino Native Hawaiian or Other Pacific Islander White, not Hispanic or Latino Other
Citizenship:	U.S. Citizen Permanent Resident Refugee Nationalized Citizen
Educational Information
School District:
High School:
High School GPA:
Planned Major:
How did you lear about SMaRT Scholars?
In no more than 250 words, please tell us about your career goals and how your chosen major will help you accomplish them.

Checklist for Scholarship Application:
Apply for admission to a qualified program at NCC. Submit your FAFSA. Submit your NCC Financial Aid Information Form. Have your official high school transcript sent to NCC. Include PSSA scores and SAT scores, if available. Have an official college transcript sent to NCC if you attended another college. Take NCC’s Mathematics Placement Test and the Reading and Writing Placement Test, if required.