FAFSA.ED.GOV

Crowder Financial Aid

CAMP Recommendation Form

APPLICATION FOR ADMISSION

The Crowder College Assistance Migrant Program (CAMP) assists eligible scholars in successfully completing their freshman year of college. The program has designed activities that provide support which include financial assistance, tutoring, academic advising, career counseling, monthly stipends, and other supportive services as needed. A CAMP scholarship is an honor that is presented annually to 45 students who qualify as migrants or seasonal farm workers and who are either United States citizens or qualified aliens eligible for federal public benefits.

COLLEGE ASSISTANCE MIGRANT PROGRAM STUDENT APPLICATION

First Semester Enrolled:
Fall year
Spring year

I. Personal Information

Complete Legal Name:
Last: First: Middle:

Former Names (if any):

Social Security No: Date of Birth:

Personal Email Address:

Mailing Address:
Street Address:
City: State: Zip:

Permanent Address:
City: State: Zip:

County in which you reside:

School District where you pay property taxes: (Leave blank if unsure)

How long have you lived at your legal address: years months

Home Telephone Number: Cell Phone Number:

Marital Status: --- Single --- Married ------Gender: Female--- Male

Citizenship: U.S. Permanent Resident Alien - Card Number
Other - Please Specify: ---

Language: --- English --- Other:

Ethnic Origin (Optional):

Caucasian--- Hispanic/Latino--- Aftican American --- Asian/Pacific Islander

Native American-Tribal Affiliation ---

Other (specify)

II. Educational Information

Student Status:

 First time student at any college (FT)

Former student at Crowder College (FR)
Have you attended another institution since attending Crowder? yes no

 Transfer Student (TR)
Prior credit at another institution but first time at Crowder College

Classification:

Freshman (0 - 30 hours) (FR)
Post Community College (65+ hours) (PJ)
Special (no GED or high school diploma) (SP)
Sophomore (31 - 64 hours) (SO)
Post Baccalaureate (PB)
High School Student (HS) (expected grad year )

High School/GED Information:

HS Graduation date: Month Year



If Other School (Specify): City: State:

If GED - Date Completed: State Received:

Have you completed the requirements for the Missouri High School A+ program? Yes No


College Information:
List all collees and/or universities which you have attended. Official transcripts for all degree seeking students are required to be on file by the fourth week of class.

Name of School City/State
(a)
(b)
(c)
(d)
(e)


III. PROGRAM OF STUDY

Please choose one program of study:

Associate of Arts (Goal #3)


Associate of Science (Goal #4)



I certify that the answers given in this application are complete and accurate to the best of my knowledge, and I understand that submission of false information may result in my denial or suspension.

In the absense of a written signature, if you agree to the above terms, please enter your name and select the SUBMIT button below.
Signature: Date:

Thank you for submitting the preliminary CAMP application. You will be receiving an additional packet of informaion that will need to be completed and returned to the Crowder College CAMP office before your application will be considered for admittance. Along with the supplemental information you will need to provide a copy of your drivers license, resident alien card (front and back) if applicable, and your social security card. You will also need to submit your current and final high school transcripts, ACT or COMPASS placement scores, and the $25 application fee. Please call 417.455.5654 if you have any questions or would like to check the status of your CAMP application.


By selecting SUBMIT you are agreeing to all terms and sections above.


College Assistance Migrant Program
601 Laclede, Neosho, Mo. 64850 / (417) 455-5654

 

 

 

 
 
Library :: Q&A :: Search
Cassville :: Nevada :: Webb City :: EOE
1- 417- 451- 3223
Crowder College - Main Campus, 601 Laclede, Neosho MO 64850