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HCC Kids’ College Scholarship Submission Form

Application Instructions

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. Be sure to include any and all documentation to show your income (i.e. W-2’s or Form 1040).

5. One application per family. Supporting documents are required.