Perkins Assistance Application
Name
*
First Name
Last Name
Student ID
*
Email
*
example@stu.howardcollege.edu
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
GPA
*
Campus
*
Big Spring/Lamesa
San Angelo
SouthWest College for the Deaf (SWCD)
For which term are you requesting assistance?
*
Fall 1 (First 8-week term)
Fall 2 (Second 8-week term)
December Mini-Session
Spring 1 (First 8-week term)
Spring 2 (Second 8-week term)
May Mini-Session
Summer 1
Summer 2
CTE Major
Agricultural Sciences
Business
Child & Family Development Studies
Construction Trades
Cosmetology
Criminal Justice Technology
Information Technology
Dental Hygiene
Emergency Medical Services
Health Science
Medical Assistant
Nursing
Radiologic Technology
Population Classification
Homeless
Single parent/single pregnant individual
Economically disadvantaged
Unemployed
Has a disability
A youth in or aged-out of foster care system
A youth whose parent is in the U.S. military and on active duty
English learners
An individual preparing for a non-traditional field for their gender
Type of assistance needed
Childcare Assistance
Textbook Assistance
Textbook Assistance Essay
Please type or paste a short essay on how this textbook assistance would benefit you and your future lifelong goals. Your submission should be between 500-750 words.
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