CSCPC Application for Higher Education Funds « CASA Support Council for Pima County, Inc.

520-575-5130

CALL

CSCPC Application for Higher Education Funds

CASA SUPPORT COUNCIL FOR PIMA COUNTY, INC.

* Click Submit below when finished with the form.

Name*
(Last, First, Middle)
Date of Birth*
MM slash DD slash YYYY
Current Mailing Address*
City, State & Zip*
Primary Phone #*
Alternate Phone #*
Email address*
Are you a current or former CASA child in the Pima County CASA Program?*
- Yes (this is required to apply for scholarship)
- No
If yes, was your dependency case managed in Pima County Juvenile Court?*
- Yes (this is required to apply for scholarship)
- No
Have you been accepted for admission to an accredited Post-secondary institution in Arizona?*
- Yes
- No
If yes, what is the name of the institution?*
Have you applied for Federal and/or State grants (e.g. Pell)*
- Yes
- No
If yes, which grants did you apply for?*
How much money from grants will you be receiving annually?*
What is the total cost of your expenses for the academic year? (see attached budget template above)*
Do you plan to work during the academic year?*
- Yes
- No
If yes, what will your approximate annual income be?*
Will you be receiving income from any other source?*
- Yes
- No
If yes, how much will you be receiving?*
How much funding are you requesting from CSCPC for the upcoming semester? *Note: CSCPC will fund up to $2,500 per semester for full time students. Scholarships are awarded based on a combination of financial need and the number of credits being taken per semester.*
EDUCATION STATUS
High School*
Name of School City/State Did you graduate? (y/n) If No, # of years left to graduate If Yes, date of Graduation
GED*
If you took the GED, did you pass? (yes/no) Date Passed
Other School(s)*
Have you already completed any college classes at an accredited post-secondary institution? (yes/no) If yes, how many credits have you completed?
Please upload the following documents:
- Letter of acceptance to an accredited higher learning institution in Arizona
- FAFSA Submission Summary
- High school transcript or proof of having passed the GED (in addition to this, please include any college transcripts you have for previous coursework completed)
- Upcoming class schedule showing enrollment in at least 12 credit hours (this can be provided at a later date if you are not yet enrolled in classes)
- Authorization for Release of Information (found at the top of this application - print, sign, and upload document)
Upload Documents
Drop files here or

Max. file size: 2 GB.
GOALS: Please tell us about yourself. How do you plan to use your education in the future? What are your short and long-term career goals?*
PLEASE READ CAREFULLY & SIGN THAT YOU UNDERSTAND & ACCEPT THIS INFORMATION
The information I provided is true and accurate to the best of my knowledge. I understand that all information may be confirmed by the CSCPC. I understand that I must also submit the “Release of Information” form with this application.
Applicant Signature*
Date*
MM slash DD slash YYYY
Thank you for submitting your application. If you have any questions about the application or the CSCPC Higher Education Funding process, please contact the Education Committee at educationchair@casasupportcouncilpima.org.

Quicklinks

CSCPC Application for Higher Education Funds

Download Budget Template for Expenses for Academic Year

Please Read the “Eligibility” and “Funding Guidelines” Prior to Completing the Application

Authorization for Release of Information

CASA SUPPORT COUNCIL FOR PIMA COUNTY, INC.

EDUCATION STATUS

PLEASE READ CAREFULLY & SIGN THAT YOU UNDERSTAND & ACCEPT THIS INFORMATION