BPCC Foundation, Inc.

Scholarship Application

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For consideration, all required documents must be received in the BPCC Foundation office by the deadlines below.

The following documents must be submitted in addition to this online application:

A one-page letter which explains the circumstances surrounding the request.
Proof of single parental/ custodial care of a minor child or children who are under the age of 18 (if applicable).
School Transcripts. (ALL students must submit transcript with application. Application will not be processed otherwise)
- Entering freshmen must submit a high school transcript.
- Minimum 2.0 GPA required for general Foundation awards. Other criteria may apply to specific scholarships (see Scholarship Criteria)
A copy of student’s current school or state-issued I.D.

See Criteria for this scholarship at www.bpcc.edu/foundation

Mail additional required materials to:

BPCC Foundation, Inc.
Attn: Stephanie Rogers, Director Dev./ Alumni
P.O. Box 6316
Bossier City, LA 71171

or Fax to: 318-678-6417

* Date of application:
* Semester:	Fall Spring
* SID#:
* Scholarship applying for:
* Name:
* Address01:
Address02:
* Town/City:
* State:
* ZIP Code:
* Telephone:
* Email:
Marital Status (optional):
Spouse's Name (optional):
Place of Employment:
Hours worked per week:
* High School attended:
* High School Graduation Date:
* College hours completed (include other colleges):
* College Major:
* College cumulative GPA (include other colleges):
* Other colleges or universities attended and dates attended:
* Are you currently enrolled at BPCC?	Yes No
* Program of Study:
* When do you plan to complete your program at BPCC?
* List any other type(s) of financial aid or scholarships you are currently receiving, or plan to receive:
Note: Some scholarships require that the applicant must not be receiving any other form of Financial Aid. Please check criteria at the Foundation scholarship page prior to submitting this form.

* To my knowledge, all of the above information is true as indicated. I grant the BPCC Foundation permission to verify the information provided above as listed in my student records
. Agree Disagree

* Enter the word shown below:

* Required

Stephanie Rogers
Director of Development and Alumni Affairs
Phone: 318-678-6185
srogers@bpcc.edu