Last Name
First
Address
City
State Ohio Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip Code
Phone Number (740/389-1212)
Email address
Social Security No. (121-12-1212)
Academic Curriculum Select One Business Engineering General Health Information Technology Public Services
Have you attended MTC under another name? No Yes If yes, give that name:
Are you a high school graduate (or GED)? No Yes
GPA
Please mark only the aid for which you may qualify and wish to apply:
MTC Scholarship (GPA 2.5 or higher)
For which term do you wish to use the scholarship:
Fall
Spring
Summer
This application, along with the result of the Free Application for Federal Student Aid), shall determine your eligibility for most scholarships at Marion Technical College. These forms/applications must be on file at the MTC Financial Aid Office by July 1 to be considered for the scholarships listed in the College Catalog and/or Financial Aid Summary.
Please list your community, high school, and college activities/involvement, volunteer and work experience including titles and offices held. (Limit to no more than 500 words.)
As a member of an underrepresented student population, briefly describe how pursuing a degree from MTC will be used to further the inclusion, diversity and equity initiatives of MTC and our community. (Limit to no more than 500 words.)
By checking this box, I hereby release my photo and information to be used in any way to promote the college, scholarships and the Marion Technical College Foundation.
I certify that the information which I have provided is correct. Furthermore, I certify that I am not in default on any Title IV loan made for attendance at any institution and do not owe a refund on any Title IV grant received for attendance at any institution. If I am applying for a scholarship, I give my permission for the Financial Aid Office to review my academic record.
Signature: Date: 00/00/0000
Marion Technical College provides equal opportunities regardless of race, color, national origin, sex, disability, age, military status, or sexual orientation.