Scholarship Application


PERSONAL INFORMATION

Name (last, first, middle initial)


Street Address, City, State, Zip Code


Primary Phone Number | Parent Phone Number


College Student ID# (if known)


Current High School


Email Address



SUPPORTING DOCUMENTS (Deadline to submit application is June 30th of graduating year)

Have you completed the FAFSA?


Please attach letter of acceptance to post-secondary institution.

After submitting application, the next step will be to submit class schedule after attending orientation.  This is due by September 1st of fall semester.  Pre-registration schedules will not be accepted. 

Student is responsible for submitting schedule for each consecutive semester to renew the scholarship.

RELEASE INFORMATION

Yes, I authorize release of financial aid information to the administrators of the Tipton County Scholarship Program.  

Yes, I authorize the Office of the Registrar to release information verifying my enrollment and to release my transcripts to the administrators of the Tipton Co. Scholarship Program

Yes, I understand that all information released to the Tipton Co. Scholarship Program will be kept confidential and will not be released to a third party without my written consent.

    By checking this box I agree to the above release guidelines

NAME


DATE




    


IMPORTANT INFORMATION

This scholarship is brought to you by the Tipton County Scholarship Committee, County Executive Mayor Jeff Huffman, the Tipton County Commission, and Unilever, Inc. in efforts to assist Tipton County High School Seniors in their pursuit of a post-secondary education. It is $600 a year for up to 2 years. This will be split into semesters or trimesters depending on the school you attend. This totals $1,200 over the 2-year period.

Eligibility Requirements:

Submit all supporting Documents

Live in Tipton County TN

Graduate from a Tipton County High School or eligible home school

Attend an eligible post-secondary institution

Have a 2.0 GPA in high school and maintain a 2.0 GPA during college

Eligible institutions include the following:

Austin Peay State University                             East Tennessee State University

Middle Tennessee State University                Tennessee State University

The University of Memphis                                 University of Tennessee Chattanooga

University of Tennessee Knoxville                  University of Tennessee Martin

Dyersburg State Community College             Jackson State Community College

Southwest Tennessee Community College  Tennessee Tech University

Any Tennessee College of Applied Technology

You will be required to submit and/or complete the following along with your application.

FAFSA must be completed when this application is submitted.

Acceptance Letter- This is usually mailed to you. Some schools also email you an acceptance. Simply print and submit with your application. We only need a copy of the letter, not the original. If you are attending a TCAT, ask them to email us a brief statement or letter proving your enrollment.

If you are awarded the Tipton County Scholarship, you will need to submit a copy of your class schedule for each semester/trimester. It will be your responsibility to email your schedule to scholarship@tiptonco.com each semester by September 1st for fall and January 5th for spring in order to receive funds for the upcoming semester. Please use “Tipton County Scholarship” in the subject line when you send any correspondence and schedule.

Failure to submit the required documents by the deadline will immediately make you ineligible.