Financial Aid Request Form

Please complete the following information and click Submit to create a new account.

1. Your Information

First Name
Middle Name
Last Name
Date of Birth
Gender
Home Phone Number
Mobile Phone Number
Primary Email Address
Residency
Have you previously attended CCBC? *required
   Yes
   No

Are you a United States Citizen? *required
   Yes
   No

Are you an employee or retiree of the Community College of Baltimore County? *required
   Yes
   No

Are you a recent Maryland high school graduate? *required
   Yes
   No

What was your household adjusted gross annual income as reported on your 2019 Tax Return?
Have you received SNAP (Supplemental Nutrition Assistant Program) benefits in the past twelve months? *required
   Yes
   No

Are you currently experiencing a hardship due to COVID-19? (Select all that apply)
   Food Insecurity (e.g. loss of employment)
   Housing Disruption (e.g. moved off campus, rent, loss of employment, etc.)
   Lack of Adequate Course Materials
   Lack of Adequate Technology
   Loss of Health Care (e.g. loss of health insurance due to unemployment or furlough)
   Loss or Lack of Adequate Child Care (e.g. need additional childcare due to daycare closure or child's school moving to remote instruction)
   Other (e.g. caring for sick family member, etc.)
   Financial hardship due to additional child care expenses
   Financial hardship due to additional housing expenses
   Student or family member has been working less due to furlough or job loss
   Student or family member was diagnosed with COVID-19
   None

Were you impacted by the COVID-19 epidemic through loss of employment?*required
   Yes
   No

Are you connected with the U.S. Military in any of the following capacities?
Individuals meeting certain requirements may be eligible for a state-mandated wavier of their tuition. Please check any categories below in which you meet qualifications.
   Senior Citizen Tuition Waiver (Must be 60 years or older)
   Social Security Disability Waiver
   Foster Care Recipient
   Homeless Youth
   Not Applicable (N/A)

Is another organization or business providing payment for your coursework? *required
   Yes
   No

Select the instructional area you are interested in. A list of individual programs will then display.

2. Financial Aid Opportunities Available

The financial aid opportunities available will be displayed once a instructional area of interest and individual programs are selected.

3. Continuing Education Financial Aid Rules and Guidelines

Please read the below very carefully. These are the main rules that will apply to your receiving CCBC Continuing Education Financial Aid. Failure to abide by these rules may result in cancellation of your award. Please remember to turn in all requested paperwork, without it you will not be eligible for these opportunities.

Students must be income-eligible to receive funding that is based on income level. CCBC reserves the right to adjust or cancel your grant at any time if it is determined you do not meet the qualifications.
Award recipients will receive a general notification by email that they have been awarded.
Award recipients should contact CCBC Continuing Education at 443-840- 4700 to register for eligible non-credit classes held at any CCBC location. Awards should be used for Continuing Education classes through December 31, 2021, unless otherwise authorized. This aid cannot be used in any other term.
Most funds can only be used to pay for tuition and fees for classes in eligible courses or series that you have been approved for. Some individual awards may support books and materials. You will be notified if this is the case.
Students should not expect refunds of unused aid amounts.
Recipients are encouraged to use their entire award at one time and should plan to register for one or more eligible classes and apply all of their award funds. Note that courses sometimes cancel.
Applicants will be awarded as funds are available. Funds are limited, with many funds available on a first-come, first-served basis. We encourage you to apply early for the best consideration of being awarded. Applying for the scholarship does not guarantee an award.
Students must keep the college informed of any relevant address and phone number changes that will affect our ability to contact you.
If award funds are not used within 3 months of being awarded, funds may be cancelled, and you will have to reapply.
All scholarships are managed and awarded in accordance to CCBC college policy as well as the requirements of the relevant funding agency or source.

I have read the guidelines listed above and agree to follow them.
   I have read the guidelines listed above and agree to follow them.
   I have additional questions and concerns and would like to request someone contact me for further details.

Additional Information. Please enter any notes you would like CCBC staff to review below:

4. Maryland Higher Education Commission Drug-Free Pledge

I agree, as a condition of receiving a Maryland Higher Education Commission Scholarship, I pledge to remain drug free for the full term of the award. Unlawful use of drugs and alcohol may endanger my enrollment in a Maryland college, as well as my Maryland financial aid award.
   By checking this box I certify I am the person identified in this application, and have read and agree to the conditions above.
   I do not agree to the conditions above. (Will disqualify you from receiving MHEC funds)

5. Signature and Acknowledgement

By signing this application, I:

Certify that I am the person named in this application, and all of the information provided in the application is true to the best of my knowledge.
Understand that CCBC may use my information from this application to offer and/or award any additional financial aid opportunities that I may be eligible for.
Understand that CCBC may request additional information and documents to determine my eligibility.
Understand that the Community College of Baltimore County reserves the right to adjust or cancel any grant or scholarship awards based on grant or scholarship program requirements, my failure to submit any additional requested information, or my failure to comply with the guidelines as listed, and I will be financially responsible for any payments accrued as a result of any adjustments.

Signature (Type Full Name)

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