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Dickinson-Cumberland County Scholarship Nomination Form
Thank you for your interest in nominating a student for the Dickinson-Carlisle Scholarship!
Candidates must be a resident of Cumberland County, Pennsylvania, at the time of the award, with the intention of entering college the following fall. Candidates do not need to be enrolled at Carlisle High School; they may attend other schools or be homeschooled. Students with financial need will be favored in the scholarship selection process. Dependents of Dickinson employees eligible for tuition remission are exempt. Nominations will be invited from the local community through the use of this form, and candidates may also self-nominate. Please submit one nomination per form; opening a new form to nominate another student.
Student Requirements:
Student submit
Dickinson-Carlisle Scholarship Form
prior to requesting personal interview.
The
Common Application
or the
Coalition Application (Scoir)
may be submitted in any application round, but no later than Jan. 15.
If applying for need-based financial aid, please submit the CSS Profile and FAFSA forms by your selected
application deadline
.
For more information, click
here
.
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Please complete this form to nominate a student for the Dickinson-Cumberland County Scholarship.
Nominator Information
First/Given Name*
Last/Family Name*
Email*
Please choose which best describes you*
High School Counselor/Administrator
Dickinson Community Member
Carlisle Community Member
Coach
Community-Based Organization (CBO) Advisor
Independent Counselor
Teacher
Other
If other, please provide your role*
Title
High School, CBO or Organization Name*
High School, CBO or Organization Address
High School, CBO or Organization Address
Country
Street
City
Region
Postal Code
Student Information
Year Planning to Enter Dickinson*
Fall 2026
First/Given Name*
Middle Name
Last/Family Name*
Email Address*
Birthdate
Birthdate
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Home Address*
Home Address*
Country
Street
City
Region
Postal Code
Nominator Notes on Candidate
Student type
First-Year
Transfer
Submit