Pima Aztec Activity Grant Application

PCC Student ID:
(e.g., A00123456)

Last name

First name

Date of Birth

Home telephone

Cellphone

PCC Email address

1. Type of planned activity

Community Services / Volunteer Work PCC Student Activity

2. Name of Community Organization or PCC Activity (e.g., Red Cross, PCC Theatre, United Way) (200 character maximum)

3. Description: Describe activity and number of hours that you plan to contribute (minimum 20 hours). 600 characters maximum

4. Verification: Provide the name and contact information of an individual who can verify your planned activity/service (PCC Faculty/staff, agency representative). They will be contacted prior to the award.

Name:

Phone:

Email:

5. Grade Point Average
Applicants must have a 2.5 grade point average or a minimum GED score of 450. Provide one of the following:

PCC G.P.A. (if courses taken):
, or

GED Score:
, or

Former high school G.P.A.*:

6. Tuition Waiver
Applicants must not be eligible for a PCC employee or dependent tuition waiver

Are you eligible for a PCC employee or dependent tuition waiver?
Yes No

7. Registered for classes
Applicants must be registered for a minimum of 6 credits in the upcoming semester.

Are you registered for at least 6 credits in the upcoming semester?
Yes No

8. Other Scholarships
Applicants must have not received another PCC scholarship: Chancellor's Scholarship or Pima Opportunity Grant.

Have you received another PCC scholarship?
Yes No

Acceptance of this award may impact your total financial aid package. Please contact a Financial Aid office.

Note:
Students must complete a Volunteer Form documenting activities and submit the form by July 15, 2013 to be considered for Fall 2013 grants. The form is available on the Aztec Activity Grant website.

* If you are not a current student, use your high school GPA and fax a copy of your transcript to (520) 206-4788. Clearly write your PCC student ID number at the top of the transcript. If you have a PCC ID number, please write that at the top of the transcript also.