Student Information
Educational Information
You must be enrolled or plan to enroll in a Workforce Continuing Education credentialing program of at least 96 hours.
Which COURSE are you planning to enroll in or are already registered for? (ex. Nurse Aide, CDL, Pharmacy Technician)(required)
Use of Funds (check all that apply) (required) Tuition Fees Books Supplies Credentialing exams Childcare Transportation
Other Information (Your answers help the scholarship committee determine which scholarship funds best meet your needs):
1. Are you a resident of North Carolina? (required) Yes No
2. Are you employed or intend to be employed in North Carolina? (required) Yes No
3. Are you receiving financial assistance through another program? (required) Yes No
4. Have you completed high school? (required) Yes, I have a high school diploma Yes, I have a GED or equivalent No, I am currently enrolled in high school No
5. Military Status (required)
Are you currently serving in the military?
Yes No
If yes, are you currently stationed outside of Elizabeth City, NC?
Yes No
If yes, please provide the name and location of your current duty station:
6. Is anyone in your immediate family a Director, employee, or family member of an employee of the State Employee’s Credit Union or SECU Foundation? (required) Yes No
7. Have you or members of your immediate family worked for or owned a farming or agricultural-related business now or in the past? (required) Yes No
8. Have you or members of your immediate family been employed in traditional industries such as furniture, textiles, or tobacco manufacturing? (required) Yes No
9. Has anyone in your household lost their job or transitioned from full-time to part-time in the past 2 years?(required) Yes No
**Source : Assistant Secretary for Planning and Evaluation
Size of Household
2025 200% of Poverty Guidelines
1
$31,300
2
$42,300
3
$53,300
4
$64,300
5
$75,300
6
$86,300
Select one response as it pertains to you, the student (required) Dependent student Independent student
Total number of people in your household including yourself (required)
Total household income from all sources for 2025 (required)
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