* denotes optional information.
Middle Name: If no legal middle name, please enter 'x'
* Maiden Name:
* Other Last Name:
Social Security Number:
Birth Date: in MMDDYYYY format
* E-mail Address:
* P.O. Box:
* Full Street Address:
Home Phone: Please include your area code.
* Cell Phone: Please include your area code.
* Work Phone: Please include your area code.
Program Pursuing at SCC:
Select a program
Non-Degree Seeking - Take classes to transfer back to another college or enrolling in one or two classes.
Accounting (* OL WB)
Advanced Manufacturing Technology (WB)
Arts & Sciences (AA)-Gen Ed/ Transfer/ Undecided (K KE OL WB WBE)
Arts & Sciences (AS)-Associate of Science (K KE OL WB WBE)
Automotive Technology (* WB)
Business Administration (* OL WB)
Collision Repair & Restoration (WB)
Computer Aided Design Technology (WB)
Construction Technology (WB)
Criminal Justice (K OL WB)
Emergency Medical Services (WB)
Industrial Maintenance Technology (K KE)
Interactive & Social Media Marketing (WB)
Medical Assistant (* WB)
Medical Coding and Billing (* WB)
Medical Scribe (* WB)
Network Administration and Cyber Security (WB)
Nursing (K WB WBE)
Nursing-ADN Completion (K WB WBE)
Respiratory Care (WB)
Welding (WB WBE)
Describe how you have utilized TRiO Services:
Why do you feel that you are deserving of the TRiO scholarship: