Scholarship Application 2023

North Omaha Community Care Council
2023 Scholarship Application

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

Last Name

First Name

Email Address

Contact Phone Number

Current Address

Permanent Address

Birthdate

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)

Other known health professional school

Upload a copy of current enrollment/registration

Upload File

Upload your complete Financial Need Form

Upload File

Upload your completed Essay form

Upload File

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

North Omaha Community Care Council
2023 Scholarship Application

THE NOCCC
P.O. BOX 31341
OMAHA, NE 68132

© 2022 by North Omaha Community Care Council

MAIL@NORTHOMAHACCC.ORG

North Omaha Community Care Council 2023 Scholarship Application

THE NOCCC P.O. BOX 31341 OMAHA, NE 68132

© 2022 by North Omaha Community Care Council

MAIL@NORTHOMAHACCC.ORG

North Omaha Community Care Council
2023 Scholarship Application

THE NOCCC
P.O. BOX 31341
OMAHA, NE 68132