Golden LEAF Scholars Program | Corporate & Continuing Education - Fayetteville Technical Community College

Personal Information:

Phone Number(Required)

NC County of Residence(Required)

Note: Only residents from specific counties are eligible for this award. If your county is not listed, please do not select another county as an alternate.

Length of Residence in County:(Required)

Educational Information:

I am enrolled or plan to enroll into the following program:(Required)

Other Information:

Please list all campus and community service activities you are currently involved in.(Required)

Use of Funds:

Additional Consent

*Students using funds for childcare and / or transportation purposes are asked to consent to the additional statement(s) below.