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Okefenokee Technical College Foundation Scholarship Application for Coastal Pines Technical College Students
List in chronlogical oder the post-secondary schools/colleges that you attended beyond high school. Give degrees/diplomas eared.
Current Quarter Class Schedule:
What do you plan to do after graduating from CPTC? What are your long-term career goals?
Please list amounts (in dollar amount) of any of the following you currently receive or will receive:
Please explain any other income you receive to attend college (parents, etc.).
Please answer the following questions in order for the scholarship committee to determine if you qualify for specific scholarships:
I certify this information to be true to the best of my knowledge, and I hereby give permission for disclosure of records to the Okefenokee Technical College Foundation internal staff members, selection committee members, trustees and other staff.

Type your response and attach it to this application or e-mail it to Mrs. Johnson. We sometimes share responses with our donors. Please take your time and do a good job.
Describe yourself and your background.
Why did you select Coastal Pines Technical College to continue your education?
Explain your reasons for seeking a scholarship and how you would use the money. Be specific, and include details about your circumstances that may assist the scholarship committee in making their decision.
Provide additional information that will assist the Scholarship committee in making a decision.
In the event that I am awarded the scholarship, I agree to attend Coastal Pines Technical College. I declare that the information reported is true, correct, and complete. I accept the terms of the above agreement and agree for my name to be listed as a scholarship recipient. I also agree to allow the scholarship committee to review my transcript for decision purposes.
I authorize the release of my transcript to the scholarship committee to review for the purpose of evaluating this scholarship application.
I, the undersigned, do hereby give permission to Coastal Pines Technical College and the Okefenokee Technical College Foundation to use my name and/or photograph picturing or naming me as a recipient of this or any other scholarship and/or in a school/work related situation.
As set forth in the student catalog, Coastal Pines Technical College (CPTC) does not discriminate on the basis of race, color, creed, national or ethnic origin, gender, religion, disability, age, political affiliation or belief, genetic information, veteran status, or citizenship status (except in those special circumstances permitted or mandated by law). The following persons have been designated to coordinate the College’s implementation of non-discrimination policies: Katrina Howard, Title IX Coordinator, Jesup Campus, Office 132,, 912.427.5876; Cynthia Linder, Title IX Coordinator, Waycross Campus,, 912.287.4098; Cathy Montgomery, ADA/Section 504 Coordinator, Jesup Campus, Office 174,, 912.427.6265; and Karen Boyle, ADA/Section 504 Coordinator, Waycross Campus, Office 122,, 912.285.6119.

Written applications can be submitted to Shaylyn Johnson in Room 1415.

Shaylyn Johnson, Project Assistant
Okefenokee Technical College Foundation
1701 Carswell Avenue
Waycross, GA 31503
(912) 287- 6598
FAX (912) 338-5300

CPTC is an Equal Opportunity Institution.

Telephone numbers are accessible to persons who are deaf or hard of hearing through the Georgia Relay by dialing 711 or 1-800-255-0056 from a TTY/TDD.

Los números de teléfono son accesibles a las personas que son sordos o con pérdida de la audición a través de Georgia Relay marcando 711 o 1-800-255-0056 de TTY/TDD.


Waycross Camden Baxley
1701 Carswell Ave 100 Keith Dixon Way 1334 Golden Isles Pkwy, W
Waycross, Georgia 31503 Kingsland, GA 31548 Baxley, Georgia 31513
912.287.6584 912.522.4510 912.367.1700
  Camden Golden Isles
Alma Cosmetology Program 3700 Glynco Pkwy
101 West 17th St 8001 The Lakes Blvd Brunswick, Georgia 31525
Alma, Georgia 31510 Kingsland, Georgia 31548 912.262.4999
912.632.0951 912.510.3364  
  Hazlehurst 1777 West Cherry St
  677 Douglas Hwy Jesup, Georgia 31545
  Hazlehurst, Georgia 31539 912.427.5800


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