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personal information
Full Name
Date of Birth
Email Address
Phone Number
Mailing Address
Educational Background
High School
Graduation Year
GPA
Current College Status:
New Student (not yet started at NWACC)
Planning to enroll
Accepted for enrollment
Currently enrolled at NWACC
Current College GPA.
Note: If you do not have a current GPA, enter your high school GPA.
Expected Program Completion Date
Academic Record - ONE of the following:
Unofficial college transcript (if currently enrolled anywhere)
High school transcript or GED certificate
Letter from academic advisor
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Max file size 10MB.
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Financial information
Annual Family Income:
Under $30,000
$30,000-$60,000
$60,000-$90,000
$90,000+
Are you the first in your family to attend college?
Yes
No
Do you currently receive financial aid?
Yes
No
If yes, what types?
Financial Documentation - ONE of the following:
Copy of most recent tax return (yours or parents/guardians if dependent)
FAFSA Student Aid Report (SAR)
Letter from financial aid office confirming need
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Max file size 10MB.
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Experience + Interest
What interests you most about a career in the bicycle industry?
Do you have experience with bicycles? (Check all that apply)
Personal cycling/riding
Basic bike maintenance
Volunteer work with bikes
Employment in bike shop
Other:
No experience (that's okay!)
What are your specific career goals in the bike industry?
What is your connection to the NWA + Bentonville bicycle community?
essay or video response
Choose ONE of the following options:
Option A:
Written Essay (300-500 words)
Describe your goals for the bicycle industry and how this scholarship would help you achieve them. Include any personal experiences that have shaped your interest in this field.
Option B:
Video Introduction (2 minutes maximum) Record a brief video introducing yourself and explaining why you're interested in the bicycle industry and how this scholarship would impact your life. Upload link or file below.
OPTION A: Essay Submission.
OPTION B: Video Link (if applicable):
additional information
Is there anything else you'd like the scholarship committee to know about you or your circumstances? (Optional)
How did you hear about this scholarship opportunity?
Program Commitment
Certification & Signature
I certify that the information provided in this application is true and complete to the best of my knowledge. I understand that providing false information may result in disqualification or revocation of the scholarship.
I authorize the PeopleForBikes Foundation and NWACC to verify the information provided and to share my story (if selected) for promotional purposes.
Full Name:
Date:
Thank you! Your submission has been received!
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nwa@peopleforbikes.org
240 South Main Street
Bentonville, AR 72712