ROCKFORD PROMISE
SCHOLARSHIP APPLICATION FORM
FOR ROCK VALLEY COLLEGE

(Must be submitted to Rockford Promise by March 1, 2019)

I, a Rockford School District 205 student eligible for graduation in 2019, am requesting a Rockford Promise scholarship. I understand that selection preference will be given to students with significant financial need. (You must apply to Rock Valley College before you submit this application.)

Personal Information
Name *
Name
Date of Birth *
Date of Birth
Address *
Address
Phone *
Phone
Scholarship Eligibility Requirements
I understand that, in order to be eligible for a Rockford Promise scholarship, I must meet the following requirement PRIOR to submitting the application:
1 - FAFSA *
If your Expected Family Contribution (EFC) is not available, explain why (i.e. immigration status, incomplete FAFSA, etc.)
2 - GPA *
3 - Applied to the school *
Additional Required Information
Optional Additional Information
List all:
List all:
Scope of Scholarship
I understand that, if I am selected for a Rockford Promise scholarship, Rockford Promise will fund up to 64 credit hours, over three (3) years at the in-district rate, for Rock Valley College. BY ELECTRONICALLY SIGNING THIS APPLICATION, I AUTHORIZE ROCKFORD PROMISE TO VERIFY MY EDUCATION, GRADE POINT AVERAGE, AND EXPECTED FAMILY CONTRIBUTIOFN (EFC) BY REQUESTING AND RECEIVING A COPY OF MY ROCKFORD SCHOOL DISTRICT 205 TRANSCRIPTS, A COPY OF MY STUDENT AID REPORT (SAR), AND FINANCIAL AID INFORMATION FROM ROCK VALLEY COLLEGE.
Student's Verification
My electronic signature below indicates that I have read and understand the terms of the Rockford Promise scholarship and that the information I have provided is true to the best of my knowledge. I further understand that my electronic signature below allows Rockford Promise to access my Rockford Public School District 205 transcripts, my Student Aid Report (SAR) including my Expected Family Contribution (EFC), and my Rock Valley College Enrollment Information Form for the limited purpose of verifying my education and financial information.
Type Name:
(Have Parent / Guardian Type their Name - Only Required if Student is under 18 Years of Age)