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WCC Fall 2023 Scholarship Application

Name

Title

First Name

Last Name

Suffix

Mailing Address

Address Line 1

City

State

Zip Code

Physical Address * If different

Address Line 1

City

State

WCC Student ID#

If you do not know your Student ID, contact the WCC Admissions Office at 276-223-4701 or 1-800-468-1195, ext. 564701. DO NOT ENTER SS#.

WCC Student ID# Confirmation

Please enter WCC Student ID# again for verification.

Year of Birth

Place of Birth

Please enter city and state (e.g. Wytheville, VA)

Preferred Contact Phone #

Alternate Contact Phone #

Preferred Email

A request for more information may be sent by email.

Preferred Contact Method

Phone call

Text Message

Text Messages

Yes, I agree to accept text messages from the WCC Foundation Office.

No, please do not contact me by text message.

* I understand that the WCC Educational Foundation may contact me by text message and that standard rates and data fees may apply. Contact your cellular provider regarding fees.

Cell phone number

Entering your phone number on this application does not enroll you in the WCC Alert. You will need to register for that on the WCC webpage under Alert.

Cell phone provider