GENE HAAS Scholarship Form Application Summer 2024

Student Information

Last 4 Digit of Social Security Number:
Student ID:
Date of Birth:
Legal First Name:
Middle Initial:
Legal Last Name:
Other Names Used:
Address:
City:
State:
ZIP:
Primary Phone:
Email Address:

High School Info

High School Attended:
GED Completion Date:
Graduated Date(past or expected)?

Employment Info

What is your hourly wage?
What is the name of your current employer?
Intended Program
Program you intended to complete:

Scholarship Eligibility Requirements *Please Read*

Students will be responsible for any costs not covered by the scholarship. The scholarship may only be applied to Tuition, Student Fees and Lab Fees (Does not cover Books, Inclusive Access Fees or Tools). Federal Pell Grant, Employee Fee Remission, Other Scholarships, Workforce funding and VA Educational money will be applied to tuition and fees prior to the GENE HAAS Machining scholarship. The Scholarship is only valid for one semester the summer 2024 semester, or the fall 2024 semester, and is nonrenewable. The scholarship is only valid for specific program and coursework. Students must complete all financial aid requirements, be enrolled and awarded the scholarship prior to the exhaustion of scholarship funds and prior to the completion of any courses. Student must meet all standard Admissions requirements to enroll, and be enrolled in all required coursework for the semester. Students must have obtained a high school diploma or GED and be a minimum of 16 years of age. Student must begin attending classes in the summer 2024 semester, or the fall 2024 semester. A thank you letter and signed agreement with the student’s participation in the scholarship is required at the time of scholarship acceptance and must be received by the deadline in the offer letter. The scholarship has no cash value. Rainchecks are not available for this scholarship.
By checking this box and submitting this form, I am agreeing to the terms and conditions outlined above and I certify that all information provided is correct and accurate to the best of my knowledge. 
Applicant Signature:
Date: