HCC Kids’ College Scholarship Submission Form
Scholarships are awarded on a first come first served basis.
If awarded this scholarship:
- will be held at HCC Collaboration Studio in Ybor City
- must be entering the 2nd grade, 3rd grade, 4th grade, or 5th grade
- will run from June 3 – August 9, Monday – Friday, 8:00am – 4:00pm (extended care available)
1. Please provide all current personal information and list the names of each person living in your household, including relationship and date of birth.
2. Please indicate if you are currently employed or not, and provide your current employment information.
3. Under “Monthly Gross” report all income in your household from the previous month. If you or persons in the household had no income, please indicate “None”. In the space provided, please report and list separately all additional income received from the following:
- Welfare, Child Support, and Alimony
- Pensions, Retirement, and Social Security
- All Other Income (Unemployment, Supplemental Security Income, VA Benefits, Disability Benefits, and any other income).
4. One application per family. Supporting documents are required.