LeaderTrek Scholarship Application

To apply to the LeaderTrek Program and Scholarship complete all listed fields below. Be sure to agree to the conditions of this application and apply your e-signature.

Contact information

First Name:

Middle Initial:

Last Name:

Birth Date:

E-Mail:

Phone:
 

Street address
 
Address:

City:

State:

Zip:

 

Education Information

High School:

High School GPA:

HS Graduation Year or GED:

Education Level:

Estimated Start Year at CNCC:

SAT Score Overall:

SAT Score English:

SAT Score Math:

SAT Score Science:
 



ACT Score Overall:

ACT Score English:

ACT Score Math:

ACT Score Science:
 

Be sure to submit your official scores to the CNCC Admission's Office.

What do you want to study?

Please check one or more subjects you want to study.

 
 
 
 
 
 
 
 
 
 
 
 
 
Other:
How did you hear about this scholarship?
 
 
 
 
 
Please submit a brief essay describing why you would like to participate in the CNCC LeaderTrek Program.
Essay is limited to 500 characters.We recommend that you write your essay using a word processor, and then
copy and paste into the field below. 

Essay:


 

Digitial Signature and Acknowledgement: Please read carefully

I certify that I will use scholarship funds that I may receive solely for educational purposes related to attending Colorado Northwestern Community College.

I acknowledge that I must meet and maintain minimum scholarship requirements. These requirements include:

  • Active participation in LeaderTrek
  • Regular attendance at all class meetings
  • Completion of service-learning projects
  • A 2.5 semester GPA

I acknowledge that if I drop below the minimum requirements, I may lose the scholarship for the next semester of attendance or be placed on academic probation for the Learning Community scholarship.

I acknowledge that scholarships are based on the availability of funds and may, from time to time, be adjusted by the Financial Aid Office.

I understand that the information submitted may be reviewed by a scholarship committee. Should I become a scholarship recipient, I give CNCC permissions to release my name as a scholarship recipient.

The information I have provided on this application is true and accurate, and I agree to abide by the terms as stated above. (Your typed name below & checking the "Agree" box constitutes a valid signature.)

Electronic Signature:



 

Review Process

  • Applications will be reviewed for initial qualification
  • Qualified Applicants will receive an initial interview call
  • Applicant responses will be noted
  • All application materials and interview notes will be sent to the scholarship committee for review and final decision
  • Applicant will be notified of the committee's decision

 

For more information about the LeaderTrek program please contact: todd [dot] ward [at] cncc [dot] edu (Dr. Todd Ward )or call: (800) 562-1105 x3257