SWCCyou Portal

Education Foundation Scholarship Application

SWCC Student ID

First Name

Middle Name

Last Name

Date of Birth (MM/DD/YYYY)

Select your gender

Country

Street Address Line 1

Street Address Line 2

City

State

State/Prov.

Zip Code

Iowa County

Personal E-Mail Address

Phone Number

Which best describes you?

High School Name

Graduation Year (YYYY)

High School GPA

Class Rank

ACT Score (Composite)

HSED (GED) Test Date (MM/DD/YYYY)

Where did you receive your HSED (GED)?

HSED (GED) Completion City

HSED (GED) Testing Center State

Are you currently a college student or have you ever taken any classes for college credit?

College GPA

Name of College/University Attended

Year(s) attended  (YYYY-YYYY)

Degree Earned (if any)

Briefly describe your career/educational goals.

Plan to Enroll at Southwestern

Planned Major/Area of Study

Are you participating on a varsity team while at Southwestern?

Which team?

Are you an employee or dependent of an employee of Burlington Northern Railroad?

Name of BN Employee

Relationship to BN Employee

Are you a dependent or relative of a Creston Eagles member?

Name of Eagles Member

Relationship to Member

Are you a dependent or relative of a Kiwanis member?

Name of Kiwanis Member

Relationship to Kiwanis Member

Are you an employee or dependent of a full-time employee at SWCC?

Are you a veteran or an immediate relative of a veteran? (parent, grandparent, sibling, child)

Have you or a relative/dependent served in an overseas conflict? (parent, grandparent, sibling, child)

Name of Veteran

Relationship to Veteran

City where veteran resides

Name of Conflict

Are you a participant of the TRiO Student Support Services (SSS) program?

List your involvement in school-sponsored and community activities. (Activity / Years or Dates)

This essay will give the scholarship committee a sense of who you are as an individual. The essay may be typed in the text box below. We would encourage you to compose your essay in an external text editor like Microsoft Word, Notepad, or Text Edit to save it for future use. You can simply copy and paste the contents of your essay here when complete.

The writing assignment is as follows:

In 300 words or fewer, explain how you have helped make your community a better place to live.

If you have checkmarks on all of the form tabs, you are ready to submit your application.