Mahoney Transitional Scholarship Application

Mahoney Transitional Scholarship Application

Funded by a grant from Brendan and Hannah Mahoney & the Bohemian Foundation

The Learning Source (TLS) at FRCC is proud to offer the Mahoney Transitional Scholarship for our current High School Equivalency (HSE) students and recent graduates. The goal of this new fund is to provide an opportunity for further education and training leading to a career path for individuals who are pursuing or have just earned a HSE diploma by passing the GED or HiSET Exam. Eligible participants must either be enrolled in HSE classes at TLS or have earned the HSE diploma within the past six months and do not yet have access to other financial aid. The scholarship will cover the HSE exam fee, tuition and fees for one or two FRCC credit classes for up to two semesters, textbooks and academic supplies, one-on-one academic tutoring, and access to on-campus resources such as personal counseling and the food pantry. Participants may also request financial assistance if they are unable to cover expenses that could threaten their ability to remain in school and complete their classes. Participants who are concurrently enrolled in HSE classes may enroll in one course per semester while finishing their HSE, and participants who have completed the HSE diploma may enroll in up to two courses per semester for up to one year or until they become eligible for federal financial aid.

FRCC Career and Technical Education certificate programs such as Automotive Technology, Computer Information Systems, Early Childhood Education, Certified Nurse Aide, Phlebotomy, and Welding Technology are recommended because they require only 5-13 credits to complete and can lead to employment in Northern Colorado. Enrolling in another course of study is also permissible but the student’s academic plan must be approved by the TLS Director or Student Success Coach.

To be eligible for the Mahoney Transitional Scholarship, participants must meet the following criteria:

Resident of Colorado eligible for in-state tuition
Have no high school diploma or have earned a HSE diploma within the last 6 months
Enrolled in HSE classes at TLS at FRCC currently or within the last six months
TABE pre-test minimum scores of 576 on the Reading and 537 on the Math

Please contact Lauren at lauren@thelearningsourse.org or at 970-204-8373 with any questions. Applicants will be contacted for an interview within one week of submitting the application and will be notified of acceptance into this program within two weeks.

Expectations of participants upon acceptance into the program:

Contact Luke Hammons, Student Success Coach (SSC) upon acceptance to the program to complete the FRCC application and career assessments.
Attend a New Student Orientation session.
Meet with your assigned FRCC Advisor to enroll in classes.
Maintain regular contact with the SCC and your FRCC Advisor throughout the semester
Attend HSE classes and/or FRCC classes.
Request a tutor as needed.

Mahoney Transitional Scholarship Application

Name*

First Name

Initial (optional)

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Phone*

Ok to text you?*

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Email*

Birthdate*

Number in Household*

First Language*

Please specify

Annual Household Income* $

Annual Personal Income*

When do anticipate taking your college class? *

Fall 2021 Spring 2022

Please attach a separate sheet with your answers to these questions:

What are your career goals?
Why would you like to participate in this program?

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Permission to Release Information

I give The Learning Source permission to release the information provided on this form, test scores, attendance records, and grades to the grant provider for reporting purposes.

I understand that some of my records may be protected under the Family Education Rights and Privacy Act of 1974 and cannot be released without my written consent. I hereby waive all provisions of the law and privilege relating to the records/information indicated on this form. I certify that this consent has been given freely and voluntarily. I may revoke this consent at any time by providing written notice of such revocation to the College or person who maintains this form. This authorization is good for one calendar year from the date I sign this release, unless notified differently. The person and or agency receiving this information may not disclose the information received as a result of this disclosure unless specifically authorized by me.

I understand that if I request that information from my educational record be shared with a 3rd party, the The Learning Source or FRCC cannot be held liable for the redistribution or disclosure of such information.

Type Your Legal Name*

I understand that by electronically signing this document by typing my full legal name, that I acknowledge, agree, and attest that the information provided by me is true and correct and I am freely intending to create and adopt this signature as my own legal binding electronic signature that carries the same legal effective and enforceability as my handwritten signature.

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By signing this form, I certify that the information is complete, true and accurate. I understand that purposely providing false or misleading information could result in criminal prosecution, prison sentence, and/or a fine pursuant to U.S. Criminal Code and Colorado Criminal Code.*

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