Southeastern Community College

Scholarship Application

Submission Deadline: April 1, 4:30 p.m.

Eligibility Requirements: Southeastern Community College (SCC) offers a variety of scholarships to students graduating from SCC, i.e., SCC alumni, who intend to continue their education. A candidate for any of these scholarships must be graduating from SCC with the intention of transferring to another postsecondary institution to complete a BA or BS or reenrolling at SCC to complete another postsecondary degree. There are several different funding sources for these transfer/continuation scholarships: (1) the SCC Alumni Association holds an annual golf outing to fund two $1,000 awards to deserving graduates - with one award given at each campus graduation; (2) Dr. Patt Dodds (BCC 1966 and 2007 SCC Distinguished Alumnus) established the Clint & Betty Dodds scholarship to fund at least one annual $500 award to the highest overall GPA earner at the West Burlington campus who began and ended his/her degree at SCC; and (3) Dr. Edward C. Stone (BJC 1956 and 1997 SCC Distinguished Alumnus) established the Dr. Edward C. Stone Continuation STEM Endowed Scholarship fund to provide a one-year variable amount award to the graduating SCC student with the highest GPA who intends to enroll in another institution to continue pursuing a higher education degree in a Science, Technology, Engineering or Math program. The last two funds are managed by the SCC Foundation.

Allowable Expenses: In all cases, half of the annual award can be used for the recipient's first term tuition, fees, books, and on-campus housing expenses in the academic year immediately following your graduation from SCC. Upon satisfactory completion of the first term with a GPA of 2.5 or greater, the remainder of the award will be applied toward the allowable expenses for the recipient's second term (i.e., immediately following). If the recipient does not enroll in or continue to qualify for the second term, for any reason, the remaining award dollars will be returned to Southeastern Community College. If the recipient is qualified and has a credit balance at the end of the second term, the postsecondary institution will retain the balance for application to the recipient's allowable expenses in the following term(s). If the student graduates or leaves the postsecondary institution within the second term, the postsecondary institution shall return any credit balance to SCC.

Note: This form is used to consider you for several Alumni Association sponsored scholarships, therefore some specific donor preference questions are included in the application.

* denotes optional information.

    First Name:

*  Middle Initial:

    Last Name:

    Social Security/SCC ID Number:

*  E-mail Address:

    Home Phone: Please include your area code.

*  Cell Phone: Please include your area code.

*  Work Phone: Please include your area code.





     Zip Code:

    Date of Graduation:

    Campus you are graduating from:

           West Burlington        Fort Madison

           Keokuk                   Mount Pleasant

           Other                     On-Line

    Name/City/State of High School Graduation or GED:

    I agree to allow the SCCAA office to access my SCC grade report:



    On what date will your next higher education experience begin (Month/Year)?

    What college will you be attending? (College/Address/City/State):

    What is your intended course of study?

I will be pursuing a career in [Stone STEM award] (check all that apply):
None Of The Above

    I intend to pursue a Bachelor's Degree in Science, Technology, Engineering or Mathematics after graduating from SCC:



    I agree to provide a copy of my latest FAFSA Student Aid Report (SAR) showing my EFC# to the SCC Alumni Association office by the application deadline:



    If FAFSA is not available, I agree and am responsible for providing a copy of the Federal Income Tax Return(s) that claims me by the application deadline.

    Are you a paid member of the SCC Alumni Association?


    If you are interested in joining, call 1-866-722-4692 ext. 5065 or 319-208-5065.

    I will submit two reference letters [as they are required] after submitting this scholarship application:



    Reference Letter Template

    Do you expect your financial situation to change significantly during the coming school year?



          If you answered yes, provide a brief explanation

Please answer each of the following questions in 1000 characters or less, but provide at least a paragraph. Remember: The more complete your responses, the better chance you have in being selected for funding.

    I selected SCC because:

    SCC helped me prepare for the future by:

    This scholarship will help me meet my future goals by:

If I am awarded a SCC Transfer Scholarship, I understand that this one-year award can be used for tuition, fees, books, or on-campus housing, with the award to be mailed directly to the college of my choice. I must maintain a 2.5 GPA to receive the second semester award. By submitting this form, I give SCC permission to use my name in any news releases or publications.

I have read and understand the above statements.



Return ALL supporting documents by April 1, 4:30 p.m. to:
Lisa Hunter
SCC Alumni Association
1500 West Agency Road, P.O. Box 180
West Burlington, IA 52655-0180
Phone: 319-208-5062 or 1-866-722-4692 ext. 5062

The SCC Foundation adheres to the following nondiscrimination statement: It is the policy of Southeastern Community College to select, develop, and promote employees and students based on individual ability and performance. It has been, and shall continue to be, the policy of Southeastern Community College not to discriminate on the basis of race, creed, color, sexual orientation, gender identity, national origin, sex, disability, religion, or age in its programs, activities, or employment practices as required by the Iowa Code sections 216.9 and 256.10(2), Titles VI and VII of the Civil Rights Act of 1964 (42 U.S.C. 2000d and 2000e), the Equal Pay Act of 1973 (29 U.S.C. 206, et seq.), Title IX (Educational Amendments, 20 U.S.C. 1681 - 1688), Section 504 (Rehabilitation Act of 1973, 29 U.S.C. 794), and the Americans with Disabilities Act (42 U.S.C. 12101, et seq.).

Individuals having questions or complaints related to compliance with this policy should contact Tina Young, Southeastern Community College, 1500 W. Agency Road, West Burlington, IA 52655, phone number 319/208-5101, fax 319/208-5005 or the Director of the Office for Civil Rights, U.S. Department of Education, Citigroup Center, 500 W. Madison, Suite 1475, Chicago, IL 60661. Phone number 312/730-1560; fax 312/730-1576.