First Name (required):
Middle Name or Initial:
Last Name (required):
Date of birth mm/dd/yyyy (required):
C-GCC Student ID Number (if known):
Mailing Address and Contact Information
Street or P.O. Box (required):
City (required):
State (required):
Zip Code (required):
Preferred Phone Number Including Area Code: This number is a cell phone number.
Other Phone Number Including Area Code: This number is a cell phone number.
Email Address (required):
Have you ever attended Columbia-Greene Community College? I have never attended Columbia-Greene Community CollegeI have previously attended Columbia-Greene Community College on or about the following dates
Spring 2023 Noncredit Course Enrollment Information Noncredit Course Title (required): Noncredit Course Number (required):
Additional requirements and supporting documentation Upload documents requested below. We can accept plain text documents, Rich text documents, Microsoft Word documents, or PDF files.
Please provide a 500 word essay that tells us about yourself, your academic and/or career goals and how this scholarship will help you to achieve those goals.(required)
Upload your essay here:
Each applicant must submit a thank you letter, addressed to the Greene County Legislature. This thank you letter must be approved by the C-GCC Foundation before the Greene County Resources are dispersed (required).
Upload your thank you letter here:
By checking yes, and entering my initials and the date below, I acknowledge that I have read and agree to the above requirements (required).
Yes Initials: Date:
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