Dear Scholarship Applicant,
All applicants are expected to complete the entire application and provide the Finance Committee with the documentation before your application can be processed. A few special notes:
All applicants are expected to have applied to the Financial Aid Office of the University/College they are attending.
1. If you have been given financial aid, we will ONLY need a copy of your most recent Accept/Decline (A/D) Statement.
2. If you have not applied to the OFA, or have been refused financial aid, please explain the reasons why in a short cover letter.
Extenuating Circumstances. Please explain any extenuating circumstances that impact your financial need status and that you would like the Finance Committee to know about. Address this in your own cover letter at the end of the application.
Document Uploads. To assist in effiency and complete applications, most upload fields are required. If you do not have the information requested attach a blank document stating so.
Final Decision. All award decisions will be made by the Finance Committee. All recipients will be notified by email shortly thereafter. All questions may be directed to the Finance Committee.
If you'd like to submit an application on paper/in-person at the Central Office please use this PDF form.
current or desired
if you're a non-student type that into the field
please attach a copy of your current class schedule. If you are a graduate student with no current class schedule, we must have a letter from your department on letterhead verifying that you are an active participant in a grad program. If you are an international student, please also enclose a copy of your I- 20 form.
please attach a University/College account statement that is dated after the class drop/add deadline. No estimated statements will be accepted, we need to see the actual current invoice amount.
This category does not include class fees or computer expenses
please attach itemized receipts
per month combined House & ICC Charges
Out of Pocket, this includes doctor bills, prescription costs, insurance premiums which you pay
Please include copies of bills and/or doctor verification
Expenses directly related to the completion of your education
Expenses you are legally obligated to pay, although not directly related to the completion of your education. An example would be court-ordered child support payments.
Only include debt accrued as a student
Loans: For each loan, include the amount you are borrowing for the academic term(s) in which you will live in the ICC and the loan’s interest rate. Write the total loan amount for the contract period, not the amount disbursed each semester.
total for contract period
If applicable, do you feel that you have enough hours or too many hours? Please explain in your attached Extuenuating Circumstances Cover Letter.
please attach a copy of your most recent W2 form and a recent pay stub. We would like to assess your income in a fair manner in order to appropriately distribute scholarship funds. If you are an international student attending school on an F1 visa, you must include a copy of your Form I-20.
total for contract period
please attach an award letter from your scholarship or grant
total for contract period-includes any money given for your living expenses, tuition, etc.
please attach a letter from your guardian detailing the financial support given.
Savings and Trust, total for contract period
Please attach a letter explaining any extenuating circumstances that impact your financial need status that you would like the Finance Committee to know about.
I certify that all statements relating to this application to be correct to the best of my knowledge. I will inform the ICC Finance Committee of any changes in my financial situation.