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SPC Open Doors Scholarship Application 2024-2025 (CR)

To be considered for the scholarship, you must:

Complete this form to continue with the scholarship award process. If you are not sure how to respond to any question, select "n/a". 

 

Please enter the following information about yourself.
Which training program are you pursuing?

If you do not see your program of interest, there are other funding options for many programs. To see if you qualify for training funds through the Workforce Innovation and Opportunity Act (WIOA) register here: https://www.careersourcepinellas.com/job-seekers/workforce-innovation-and-opportunity-act/

Which Term are you applying for scholarship funding?
Are you currently enrolled in this program?
Are you sponsored by an employer or agency that is already covering your cost of attendence?
SPC ID number

*If you are not a current SPC student or not already enrolled in one of the approved programs you will not be eligible for funding

Phone
SPC Email Address
Street Address
City
State
Zip Code
Date of Birth
/ /
What is your gender?
What is your ethnicity?
I am a resident of Florida and have lived in the State a minimum of 12 months.

Authorization

By entering my name below, I hereby give permission for St. Petersburg College to obtain and/or disclose my past, present, and future information or records that may be needed for eligibility determination, monitoring and follow-up purposes. This information may include, but shall not be limited to: school records, grade records, attendance records, employment information, medical records, public assistance records, employment information and vocational rehabilitation assessment or evaluation tools. A photocopy/facsimile of this signed consent form may be used to obtain/release information authorized by signature on this form. It is also my understanding that any information obtained by the above organization will be held in strict confidence. I understand that I may revoke this consent at any time by providing a written statement indicating that my consent to the release of information is no longer given to the party(ies) previously granted permission.

 

By entering my name below, I certify all information is true and correct to the best of my knowledge.
If under 18 years of age, it is required to have a parent or legal guardian sign:
 

If you have comments about this survey or questions regarding how to complete this survey, please contact SPC at information@spcollege.edu.

The Board of Trustees of St. Petersburg College affirms its equal opportunity policy in accordance with the provisions of the Florida Educational Equity Act and all other relevant state and federal laws, rules and regulations. The college will not discriminate on the basis of race, color, ethnicity, religion, sex, age, national origin, marital status, pregnancy, sexual orientation, gender identity, genetic information, or against any qualified individual with disabilities in its employment practices or in the admission and treatment of students. Recognizing that sexual harassment constitutes discrimination on the basis of sex and violates this Rule, the college will not tolerate such conduct. Should you experience such behavior, please contact the Title IX Coordinator and EEO Officer at 727-341-3055; by mail at P.O. Box 13489, St. Petersburg, FL 33733-3489; or by email at eaeo_director@spcollege.edu or spctitleix@spcollege.edu.