If you are interested in receiving information about new scholarships as it becomes available, we ask that you please provide us with some information about yourself so that we can more easily help you search for scholarships and other opportunities. Please submit your information here:

Contact information
All Fields Are Required Fields

Personal Data
Student Name:
Student E-mail address:
Student Phone Number:
Date of Birth:
Gender:
Male
Marital Status

Do you have any dependent children?

Yes                    If yes how many?
No
Are you employed?
Yes    Full-time    Part-time
Ethnicity (many scholarships are targeted to people with specific backgrounds):
Asian or Asian American   Black or African American 
Native American    Hispanic/Latino White or Caucasian   
Decline to respond    Other 
Are you a U.S. Citizen?:
Are you a Permanent Resident?:
Are you an International Student
Yes
If applicable, please select appropriate visa type
F1    F2    J1    G
Were you involved in rescue efforts or did any of your direct family member(s) suffer loss of life, employment, hardship related to the 9/11 disaster?
Yes
College Information
College major:
Number of credits earned from KCC:
0-30    30-60    Other   
GPA:
Did you graduate from high School or earn your GED?
High School   GED    
Are you planning on earning you Associates degree from KCC?:
Yes    
Are you planning on pursuing further education after KCC?:

Yes

Are you eligible for any scholarships for people with disabilities?

Did you complete the FAFSA for 2008-2009?
Yes
Did you complete the New York State TAP application for 2008-2009?
Yes
Did you or are you currently receiving scholarships or tuition assistance from your employer
or any other agency?
Yes
If yes, please list the name of the agency or agencies, date and the amount of the award.
Please list any Interests/Hobbies/Clubs/Awards/Community Service:
Are you currently a member of Phi Theta Kappa?
Yes
Please indicate which scholarship(s) you are interested in
Check as many as apply:
   

After completing your registration you will be contacted by the Office of Career Development, Transfer/New Start and Scholarship Opportunities.