Scholarship Application | North Omaha CCC

North Omaha Community Care Council
2026 Scholarship Application

Please take your time in completing this form. Documents can be downloaded and completed from the Scholarship Information page found here.

First Name

Email Address

Current Address

Last Name

Contact Phone Number

Permanent Address

Birthdate required

Specify Other Race

How did you learn about the scholarship?

Who do you know on the NOCCC?

What High School did you attend?

Location of High School

What College/University are you requesting a scholarship for?

Location of College/University

Scholarship Amount Requested

Student's Current or Planned Major/Degree

Current Year in College

Current Grade Point Average (GPA)

Expected Family Contribution (EFC)

Other known health professional school

Upload a copy of current enrollment/registration

Upload File

Upload supported file (Max 15MB)

Upload your complete Financial Need Form

Upload File

Upload supported file (Max 15MB)

Upload your completed Essay

Upload File

Upload supported file (Max 15MB)

I certify that the infomaton included in this application is accurate and undestand that intentional misrepresentation will disqualify me from recieving this or future scholarship awards from the North Omah Community Care Council.

Your Signature

Thanks for submitting!

North Omaha Community Care Council 2026 Scholarship Application

Please take your time in completing this form. Documents can be downloaded and completed from the Scholarship Information page found here.

North Omaha Community Care Council
2026 Scholarship Application