Financial Assistance
Application

Financial Assistance Application

Financial Assistance Application

This application will assist the Scholarship Committee with awarding scholarships and grants. Please submit the following information by June 1st. Incomplete applications will not be processed.

Students must also submit a Free Application for Federal Student Aid (FAFSA).


First Name
Street, City, State and Zip Code
i.e., 919-530-6333
NCCU Email
i.e., 01/01/1989
i.e., 1, 3, etc.



i.e., Honda Accord 2007 – $12,500

17. Do you have any bank accounts? If so, please provide the average daily balance for each account.
i.e., house, stocks, bonds, excluding furniture, clothing, books, etc.

i.e., 20, 30, etc.

i.e., Honda Accord 2007 – $12,500

24. Does your spouse have any bank accounts? If so, please provide the average daily balance for each account.
i.e., house, stocks, bonds, excluding furniture, clothing, books, etc.
i.e., 40, 35, etc.

i.e., 0, 500, 5000, etc.

Click to select

40. Do you or your spouse currently receive any of the following? If yes, please provide the annual amount. Also please indicate whether it is you or your spouse who is the recipient of the funding.
42. Do you have any loans? If yes, please provide the amount for each loan.
43. Did you receive any type of income tax refund in the past year. If yes, please provide the amount for each tax refund below.
44. Have you received any settlements? If yes, please provide the amount for each settlement below.

Please read the following statement and check the box below: