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: ______________
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:
Name: _______________________________________
Address:_____________________________________
_____________________________________________
Phone:____________________
Work Phone:________________ Employer:__________________________
Are you receiving financial aid for your education? ___Yes ___No
If no, have you applied? ___Yes ___No
If you are receiving financial aid, please check all that apply:
If no, please explain why____________________________________________________________________
_______________________________________________________________________
___ FAFSA (Free Application for Federal Student Aid
Are you enrolled in a degree program? ___Yes ___No
___ School you are attending (for instance, Allis Grant)
___ Other (please explain)__________________________________________________
School _____________________________________
Student Status:
Program_____________________________________
When did you start this program?_____________
When is the anticipated completion date?_______________
___ Full Time (12 Credits or more)
Number in household (as on tax form):____
___ Part Time (6 credits)
___ 3/4 Time (8 to 10 credits)
___ 1 course at a time
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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