True North Scholarship Application

Applicant Information

(Information used for verification and nonprofit reporting purposes and will remain confidential.)

Applicant Name

First

Last

Applicant Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Applicant Phone

Applicant Email Address

Applicant Date of Birth

Tell Us About Yourself

Please tell us about your background, your educational goals, and what led you to pursue this path.

Educational Institution Information

Name of the College (you are attending)

College Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Financial Aid Office Contact

Financial Aid Office Contact Number

Financial Aid Office Contact Email Address

Program or Field of Study

Are you a first-generation college student?

Yes
No

Expected Graduation Date

Current Enrollment Status

Enrolled
Accepted/Pending Start
Applying
Other

Student ID Number (if applicable)

Enrollment Verification Requirement

Applicants must provide documentation confirming enrollment or acceptance into the educational institution listed below. Acceptable documentation may include: • Enrollment verification letter • Tuition invoice or billing statement • Class registration confirmation • Acceptance letter

Enrollment Verfication Documentation

Drag & Drop Files, Choose Files to Upload You can upload up to 4 files.

Halcyon True North reserves the right to verify enrollment directly with the institution before distributing funds.

Financial Information

Are you financially dependent on a parent or guardian?

Yes
No

Financially dependent means your parent/guardian provides significant support such as housing, tuition, or living expenses.

Household Annual Income

Personal Annual Income

Financial Need & Hardship

Do you consider yourself to have a financial need?

Yes
No

Financial Challenges or Circumstances

Please describe any financial challenges or circumstances that impact your ability to fund your education (150–300 words): (Examples may include supporting yourself or family members, limited access to financial resources, unexpected hardships, or other relevant factors.)

Alternative Education Financial Path

If you do not receive this funding, how do you plan to continue your education or achieve your goals? (150–250 words)

Financial Request

Financial Period (Semester/Program Term)

Financial Purpose (check all that apply)

Description of Need

Drag & Drop Files, Choose Files to Upload

Please submit a thoughtful response (one page (please attach)) outlining how this funding will contribute to your educational journey, the role this program plays in your future career plans, and how you hope to use your education to positively impact others.

Important Financial Notice

Halcyon True North distributes education assistance directly to verified educational institutions, vendors, housing providers, or service providers after documentation review. Funds are not distributed directly to applicants. Halcyon True North reserves the right to verify all information submitted. False or misleading information or misuse of funds may result in denial of funding or disqualification from future assistance.

Payment Verification Information

College Name

College Billing Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

College Contact Name

College Contact Number

College Contact Email

Invoice or Billing Reference Number (if available)

Certification and Agreement

Checkboxes

I certify that the information provided in this application is accurate to the best of my knowledge.

Signature

Clear Signature

have Contact the

Date of Signature

Welcome to True North

Applicant Information

Educational Institution Information

Enrollment Verification Requirement

Financial Information

Financial Need & Hardship

Important Financial Notice

Payment Verification Information

Certification and Agreement

Halcyon True North