top of page
tccwmembership@gmail.com
Log In
HOME
ABOUT US
NEWS
CALENDAR
SCHOLARSHIPS
Scholarships
FUNDRAISER
2025 Style Show
2024 Style Show
2023 Style Show
PURCHASES/RSVP
MEMBERS ONLY
Members
First Name
Home Phone
Last Name
MI
Date
Personal Email Address
Cell Phone
School Email Address
Current Address
Current Address Unit No
Permanent Address
Permanent Address Unit No
Does your permanent address belong to a parent or guardian?
Yes
No
If YES, What is their name?
Scholarship Applied for:
*
TCCW Scholarship
TCCW Memorial/Honor Scholarship
TCCW James Michael Johnson Memorial Scholarship
Are you a citizen of the United States?
Yes
No
Local Newspaper Name
Ar you a TCCW Member?
*
Yes
No
Who Reffered You?
Have you applied for a TCCW scolarship prior?
*
Yes
No
Have youreceived a TCCW scholarship prior?
Yes
No
Are you a dependent on yourparents' taxes?
*
Yes
No
If YES, Provide approximate parents' COMBINED Annual Income BEFORE taxes.
If YES, Provide total Number of Dependents claimed o parents' taxes.
If YES, Provide number of children claimed on parents' taxes that are enrolled in a college or technical school
Are you employed or will you be during school?
*
Yes
No
If YES, how many hours weekly?
If YES, Approximate Monthly Income BEFORE Taxes?
Do you have additional factors for the Scholarship Committee to consider?
High School/ Home School
City/State
From Date
To Date
Are you a Senior?
*
Yes
No
Jr College
Year Graduated
GPA (4.0 Scale)
City/State
From Date
To Date
GPA (4.0 Scale)
Hours Completed
0-29 HRS
30-59 HRS
Over 60 HRS
Hours Completed
0-29 HRS
30-59 HRS
Over 60 HRS
Anticipated Year of Graduation
Current Classification
Current Classification
bottom of page
