Grant Opportunities - Clark State College Scholarships

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Adjusted gross income for entire household for the last tax year? Please enter a number. You can use a decimal, but exclude any other symbols.

First Name

Last Name

Address

City

Have you completed the FAFSA?

Yes

No

Information from your applicant record (located in the bottom left of screen) will be used to match you to specific scholarship opportunities. Please review and confirm that the information in your applicant record is accurate.

Yes, the information in my applicant record is correct.

No, but I have contacted the Registrar's Office at 937-328-6015 with changes.

State

If you are a registered nursing student, are you in your second year of nursing classes?

Yes

No

N/A

Zip Code

Cumulative GPA Please enter a number. You can use a decimal, but exclude any other symbols.

Applicant Last Name:

Applicant Middle Intitial:

Date of Birth:

County of Residence:

Program of Study at Clark State:

Clark State email address:

State

How did you hear about Clark State Scholarships?

Adviser

Coach

Email

Faculty

Financial Aid Office

Student Portal

Other

Family Annual Income

Under $25,000

$25,001 - $35,000

$35,001 - $40,000

$40,001 - $50,000

$50,001 - $60,000

$60,001 - $70,000

Over $70,000

Are you associated with the military?

No

Yes, Active Duty

Yes, Guard or Reserve

Yes, Spouse of Active Duty Member

Yes, Spouse of Guard or Reserve Member

Yes, Veteran

Are you a first generation college student? (Neither parent has completed a Bachelor degree or higher)

Yes

No

Anticipated Graduation from Clark State, month/year

Are you currently receiving or eligible to receive a Pell Grant?

Yes

No

Degree or program of study

Can you be claimed as a dependent on another individual's taxes?

Yes

No

Alternate Email Address

Total number of years you have attended Clark State Please enter a whole number, no decimals or other symbols.

Are you the primary income earner in your household?

Yes

No

Are you registered with the Clark State Office of Accessibility?

Yes

No

Are you graduating high school in 2023?

Yes

No

Have you completed the 2023-2024 Free Application for Federal Student Aid (FAFSA)?

Yes

No

Academic Program To select multiple items, hold control or command and click each one.