Belonging, Access, and Success in Education Grant

Application for the BASE Grant for 2024-2025

2024-2025 BASE Grant Information Sheet

I verify I have read the linked document (above)

First Name: (required)

Last Name: (required)

What is your complete address? (required)

What is your Senators email address? (required)

What is your WS W#? (required)

What is your cell phone number? (required)

What is the name of the high school you graduated from? Year of graduation? Location of High School? (required)

Which qualifications do you meet? ( See information sheet) (required)

First Generation

Non-traditional student ( age 25 years or older)

Veteran

Documented Disability

Living in Hawkins, Cocke, Grainger, or Union County

Please explain why you are applying for this grant and include any special circumstances of financial need you may have. (required)

Have you been accepted to WSCC? (required)

YES

Have you completed the FAFSA? (required)

YES

Upload a copy of your Student Summary Report from the FAFSA website

What is your major? (required)

What is your parents' highest level of School? ( Highest for both parents collectively) (required)

Elementary

High School

Vocational School

College

Do you understand if you receive this grant, you will be required to attend THREE cultural events each semester and join a club or organization? (required)

YES

Do you understand that if you are under 21 years of age, by accepting this grant, you give this office permission to contact your parent/guardian regarding your academic progress and /lack thereof, as well as social issues? (required)

YES

Do you understand that if given this grant, you will need to meet/contact the appropriate staff from this office at least twice a semester? (required)

YES

By typing your name below, you acknowledge that all information you have submitted in this form is correct and this will be used as an electronic signature. (required)