1. If chosen for this scholarship award, I agree to participate in regular success coaching sessions throughout the Fall 2024, Spring 2025, and Summer 2025 semesters.
2. Full Name
3. Authorize Date
Have you been accepted to BEGIN one of the following Wallace State Community College programs in FALL 2024?
Are you the parent of children under the age of 12?
Please indicate one or more of the following: I am