NMAA - Newport Mesa Unified School District

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Page 2. NMAA / Dr. John W. Nicoll ScholarshipE. Advanced Placement / Honors CourseworkList the Advanced Placement (AP) and/or Honors courses you have taken. Include courses taken on a high schoolcampus and/or at a community college or university campus. List the title of the course, the school where coursewas taken, the grade you received, and the credit earned.Course TitleSchoolGradeReceivedCreditsEarned(Repeat as needed)F. ScholarshipsList the name and amount of award of other scholarships that you have applied for, received, or expect to receive.(Use the outline shown below and repeat as many times as necessary.)Scholarship Name Amount Circle the Status$ Applied For / Received / Expect to Receive$ Applied For / Received / Expect to Receive$ Applied For / Received / Expect to Receive$ Applied For / Received / Expect to Receive(Repeat as needed)G. Colleges and UniversitiesList the institutions you have applied to or will be applying to. Indicate the geographic location and approximatecost per year for each school. Include expenses directly related to education such as tuition, fees, books, supplies,and transportation. (If the institution is out of the area, indicate room and board as well as round-triptransportation costs.) Do not include clothing, entertainment, telephone, automobile and other incidental expenses.Institution City/State Room & Board (if out of the area)Tuition & Fees Books & Supplies Round-Trip TransportationInstitution City/State Room & Board (if out of the area)Tuition & Fees Books & Supplies Round-Trip TransportationInstitution City/State Room & Board (if out of the area)Tuition & Fees Books & Supplies Round-Trip TransportationInstitution City/State Room & Board (if out of the area)Tuition & Fees Books & Supplies Round-Trip TransportationNMAA/Dr John W. Nicoll ScholarshipUpdated 7/31/2008sj
Page 3. NMAA / Dr. John W. Nicoll ScholarshipH. Financial Resources WorksheetH.1 List the institutions you are likely to attend from Section G, the approximate cost per year, and whether or notyou have applied for admission.Institution City / State ApproximateAnnual CostHave you appliedfor admission?$ Yes No$ Yes No$ Yes No$ Yes NoIf the answer is NO,when will you apply?(Repeat as needed)$ Yes NoH.2 What amount will you contribute to your own education expenses?MoneyPreviously savedWages fromsummer jobs$$Part-time jobduring collegeOtherscholarships$ Graduation gifts $$ Other $H.3 What amount will come from other sources to contribute to your education expenses?Parents/Guardians$Grandparents$Non-Relatives$Step-Parents $ Relatives $ Other $H.4 How much financial aid are you eligible to receive? Please compute your eligibility for financial aid, even ifyou have not yet applied. For each category, estimate the amount you are eligible for and whether or not you haveapplied (Circle Yes or No).CAL Grant Eligible for $ Have you applied yet? Circle: Yes NoPELL Grant Eligible for $ Have you applied yet? Circle: Yes NoOther Eligible for $ Have you applied yet? Circle: Yes NoOther Eligible for $ Have you applied yet? Circle: Yes NoH.5 What other funding sources do you expect to use?(1) $ (3) $(2) $ (4) $H.6 What is the amount available to fund your education? (Use totals from H.2 through H.5)H.2 Your own resourcesfrom savings, jobs, etc. H.3 Contributions from others H.4 Financial Aid / Loans H.5 Other sources$ $ $ $H.7 Given what it will cost you to attend college and what you have available to cover expenses on an annual basis,what is the shortfall? $H.8 What special situation or hardship do you believe will contribute to an equitable evaluation of yourapplication? (Please explain by providing a short statement of need.)NMAA/Dr John W. Nicoll ScholarshipUpdated 7/31/2008sj
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NMAA - Newport Mesa Unified School District

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