Outside Scholarships
If you were awarded a scholarship(s) from any source other than McCook Community College or North Platte Community College, please complete the information below.

Student Name

Student Email Address

High School

Student ID

In the space below please list any scholarships you will be receiving that were NOT awarded by Mid-Plains Community College.

Name of Scholarship

Award Amount

Name of Scholarship

Award Amount

Name of Scholarship

Award Amount

Name of Scholarship

Award Amount

If you are awarded more than four (4) scholarships from outside sources, please submit an additional form with any scholarships not included on here. 

Using the attach buttons below, provide any documentation you have related to the scholarships you will be receiving (i.e. letters from donors, certificates, scholarship terms, etc...).

Attach

Attach

Attach

Attach

Is there anything else the college needs to know about the scholarship(s) you will be receiving? If so, please explain in the space below.

By signing and submitting this form I acknowledge that it is my responsibility to follow up with my scholarship donor(s) regarding any information they may need to finalize this award. I will also communicate any information regarding this award to MPCC and will ensure its proper application on my student billing statement.

Student Signature

Date