24-25 ConEd Scholarship Application

2024 - 2025 VGCC Workforce Continuing Education Scholarship Application
The following application places you under consideration for one of the following current scholarship opportunities: Short-Term Workforce Development, Golden LEAF, and State Employee's Credit Union. You will also be considered for Institutional Grants.
Applicant Information
Name*

First NameLast Name
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
NC County of Residence*
Length of Residency in County*

1 year or lessAt least 5 yearsMore than 5 years
Scholarship Questions
Have members of your immediate family worked for or owned a farming or agricultural related business?*

YesNo
Have you or members of your immediate family been employed in traditional industries such as furniture, textiles, or tobacco manufacturing?*

YesNo
Has anyone in your household lost their job or transitioned from full-time to part-time employment in the past two years?*

YesNo
Are you a director, employee, or family member of an employee of the State Employees' Credit Union or SECU Foundation?*

YesNo
Are you a member of the National Guard?*

YesNo
Are you a military veteran or the spouse of a military veteran?*

YesNo
Do any of the scenarios below describe your financial situation? If yes, please indicate which scenario(s).*

YesNo
Please indicate which scenario(s) describe your present situation.

I am currently unemployedI have received notification of a pending layoffI am currently working and eligible for the Federal Earned Income Tax Credit (FEITC) [for qualifying rules, see below]I am currently working and earning wages at or below two hundred percent (200%) of the federal poverty guidelines [for income amounts, please see below]
Basic Qulifying Rules for FEITC
- Have worked and earned income under $63,398
- Have investment income below $11,000 in the tax year 2023
- Have a valid Social Security Number by the due date of your 2023 return (including extensions)
- Be a U.S. citizen or resident alien all year
- Not file a Form 2255 (related to foreign income)
Annual Income and Household Size at or Below 200% Poverty Level
- Household size 1 (self) and 2024 income at or below $30,120
- Household size 2 and 2024 income at or below $40,880
- Household size 3 and 2024 income at or below $51,640
- Household size 4 and 2024 income at or below $62,400
- Household size 5 and 2024 income at or below $73,160
Education Information
Community College you are attending: Vance-Granville Community College
Workforce Continuing Education course/program you are enrolled in*
Signature
By providing my first and last name in the space provided, I verify that the information provided in the application is complete and correct. I understand that the successful completion of this application does not guarantee receipt of scholarship funds. I understand that if I am offered funds, additional documents may be requested including a Residency application for the Short Term Workforce Development Grant. I agree to attend my Workforce Continuing Education course and understand that funds will need to be returned if I am awarded and fail to attend.
Name*

First NameLast Name
Signature*

Clear
Should be Empty:

2024 - 2025 VGCC Workforce Continuing Education Scholarship Application

Applicant Information

Scholarship Questions

Education Information

Signature