Application For Foundation Scholarships
Fields marked with an * are required.
Please review the details, qualifications, and required documents for all scholarships,
then check the Foundation scholarship(s) for which you are interested.*  



Please note that the following documents are required and must be submitted before you can be considered for any of these scholarships.
  • Application for Admission to Hinds Community College. This application is available on the Hinds Community College website.

  • Application for Foundation Scholarships. (also available in pdf )
    ( Please include a summary of why you feel you should be considered for a scholarship,
    a list of your achievements and a brief statement of any special financial need.     )

  • High school and/or college transcript(s). (This can be an unofficial transcript.)

  • Copy of your ACT scores (if not posted on your high school transcript) or GED scores, if applicable.

  • Three recommendations from individuals (i.e. school, church, community/civic organizations, or work).
    (Please download the recommendation form from our website.
    It is the student's responsibility to provide copies of the form to the individuals who are providing their recommendations and
    to have those submitted by the March 1 deadline.)

All information must be postmarked to Enrollment Services, P. O. Box 1100, Raymond, MS, 39154-1100,
or hand-delivered to First Floor, Fountain Hall on the Raymond Campus or submitted online on or before March 1.
PLEASE NOTE: Students wishing to be considered on the basis of financial need must complete the Free Application for Federal Student Aid (FAFSA) and have results on file in the Hinds CC Financial Aid Office by March 1. FAFSA results must be on file with the Hinds CC Financial Aid Office to be considered for the CN Scholarship, Vicksburg Medical Foundation Scholarship, and Trustmark Bank Scholarship as well as some other Foundation Scholarships.
SECTION 1: Student Information
Last Name:*  
First Name:*  
Middle Initial:
Social Security Number:  
Date of Birth:*
Home Phone Number:*  
Cell Phone Number:
Email Address:
Permanent Address:* (Street, Route, Box)
 
City:*  
State:*  
Zip* :  
County of Legal Residence/since?*  
Year:*  
State of Legal Residence/since?*  
Year:*  
SECTION 2: Education prior to attending Hinds Community College
Are you, or will you be, a high school graduate?
High school cumulative grade point average (present time):*  
Name of high school:*  
Year graduated:*  
Do you, or will you, have a (choose one):*  


Have you taken the ACT test?
Are you a returning HCC Student?
Have you attended colleges or technical schools,other than Hinds Community College, since you attended high school?
SECTION 3: While attending Hinds Community College
I am requesting financial assistance for the following semester(s): Fall 20
Spring 20

I plan to attend the following campus(es):*  





I plan to major in:*  
I expect to graduate from Hinds Community College:(month / year):*  
SECTION 4: Because some scholarship criteria is very specific, it is helpful to have the following additional information.
Sex:
Marital Status:
Number of Dependent Children:
Do you identify yourself as Hispanic or Latino:
Please select one or more of the following races:




Veteran or related to a veteran?
Related to a Hinds Community College employee?
Write a summary about yourself and why you feel you should be considered for a scholarship:
(Please include Personality Traits/Social and Leadership Abilities.)
List of Achievements/Extracurricular Activities/Community Service/Work Experience:
Financial Need:
Certification:
By entering my birth date and initials below, I am certifying that all the information provided by me or any other person on this form is true to the best of my knowledge.
I understand that this application does not guarantee me a scholarship.
I further understand that I must fully comply with all guidelines governing the scholarship if awarded (see College Catalog and Handbook).
Birthdate:  
Initials:  
All information must be submitted to:
Enrollment Services,
P. O. Box 1100,
Raymond, MS 39154-1100
or delivered to First Floor, Fountain Hall, Raymond Campus.