NCCB Scholarship Application

NCCB helps to ensure our blind and visually impaired students can reach their educational and professional goals

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NCCB Scholarship Application Form

AT THE COMPLETION OF THIS SCHOLARSHIP APPLICATION FORM PLEASE CLICK THE BUTTON TO SUBMIT YOUR APPLICATION. YOUR APPLICATION WILL THEN BE SUBMITTED TO NCCB FOR PROCESSING AND CONSIDERATION. ALL OF US HERE AT NCCB ALWAYS WANT TO HELP OTHERS AND WE WILL MAKE EVERY EFFORT TO PROVIDE FEEDBACK AS SOON AS WE CAN.

How to Apply for an NCCB Scholarship

It's easy! Just follow these steps:

* Fill out and submit the online application by May 1, 2019
NOTE: If you exit this form before completing all pertinent information, checking the box below and clicking the "submit" button your data will be lost and you will have to start over.

* Ask two (2) people who are not family members to email NCCB a character reference with your name in the subject line

* Ask a qualifying professional (counselor, physician, etc.) to email NCCB confirming your visual situation with your name in the subject line

* Email NCCB a copy of your transcript with your name in the subject line

* Email NCCB an acceptance letter from the school you plan to attend with your name in the subject line

FIRST, LET'S START WITH SOME INFORMATION ABOUT YOU:












NEXT, SOME INFORMATION ABOUT YOUR EDUCATIONAL BACKGROUND:






TELL US ABOUT YOUR WORK EXPERIENCE:



TELL US ABOUT YOUR OTHER INTERESTS OR ACTIVITIES:



TELL US A LITTLE BIT OF A BIO (500 WORDS MAX WILL BE FINE):

IF UNDER 18 PLEASE PROVIDE THE NAME AND CONTACT INFORMATION FOR YOUR PARENT OR GUARDIAN:









TELL US WHICH SCHOLARSHIP PAYMENT OPTION YOU'D LIKE NCCB TO USE:


>> IN COMPLIANCE WITH INTERNAL REVENUE SERVICE REGULATIONS, WHEN A CHECK IS WRITTEN TO A SCHOLARSHIP RECIPIENT, THE FUNDS MUST BE USED FOR EDUCATIONAL PURPOSES.
>> I ATTEST THAT I WILL SPEND THE SCHOLARSHIP RECIEVED FROM THE NORTH CAROLINA COUNCIL OF THE BLIND FOR EDUCATIONAL EXPENSES AND IN PURSUIT OF MY EDUCATIONAL GOALS.
>> I HAVE REVIEWED THIS FORM AND AGREE THAT ALL INFORMATION IS CORRECT.
>> I ACKNOWLEDGE THAT IT IS MY RESPONSIBILITY TO ENSURE THAT ALL ADDITIONAL SUPPORTING EMAIL DOCUMENTATION IS SENT TIMELY TO NCCBMAILBOX@GMAIL.COM
>> I UNDERSTAND AND AGREE THAT I AM AFFIXING MY ELECTRONIC SIGNATURE AS OF THE DATE OF SUBMISSION WHEN THIS FORM IS ELECTRONICALLY TRANSMITTED TO NCCB.

THE BUTTON BELOW WILL SUBMIT YOUR SCHOLARSHIP APPLICATION TO NCCB FOR CONSIDERATION BUT WILL NOT WORK UNTIL YOU HAVE CHECKED THE BOX ABOVE.