Cook County Higher EducationTextbook Scholarship Application

Cook County Higher Education has established a textbook scholarship for students. Scholarship Eligibility Requirements are as follows:

Students are allowed a maximum of $125 per calendar year to be put towards textbooks. Dollars are awarded using a sliding scale based on the Federal Poverty Guidelines. Upon acceptance of the scholarship, you must present a receipt of the book(s) you have purchased. Cook County Higher Education will reimburse you at the % you have been awarded, not to exceed $125.

Date: ______________
Name: _______________________________________
Address:_____________________________________
_____________________________________________
Phone:____________________
Work Phone:________________   Employer:__________________________

Are you receiving financial aid for your education? ___Yes   ___No

If you are receiving financial aid, please check all that apply:
Are you enrolled in a degree program? ___Yes   ___No
Student Status:
Number in household (as on tax form):____

Please print this form, fill it out, and send it along with your textbook receipt(s) and a copy of your most recent Federal tax form (the section that shows your gross income) to:
Cook County Higher Education - North Shore Campus - 300 West 3rd Street
P.O. Box 57 - Grand Marais, MN 55604 (218) 387-3411


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