Cook County Higher Education Textbook Scholarship Request Form

Cook County Higher Education has established a textbook scholarship for students. Scholarship Eligibility Requirements are as follows:

  • You must be enrolled in a distance education or onsite course in Cook County that has college credit and is part of your degree program.
  • You must be a resident of Cook County and have resided here for at least one year

Students are allowed a maximum of $125 per calendar year to be put towards textbooks. Dollars are awarded using a sliding scale based on the Federal Poverty Guidelines (more info). Upon application to the scholarship, you must present a receipt of the book(s) you have purchased. Cook County Higher Education will reimburse you at the % you have been awarded, not to exceed $125.

Date: ______________
Name: _______________________________________________________
Address:______________________________________________________
_____________________________________________________________
Home Phone:____________________   Cell Phone:______________

Email:________________________________________________________

Are you receiving financial aid for your education? ___Yes   ___No

    If no, have you applied?   ___Yes   ___No
    If no, please explain why____________________________________________________________________
    _______________________________________________________________________
If you are receiving financial aid, please check all that apply:
    ___ FAFSA (Free Application for Federal Student Aid
    ___ School you are attending (for instance, Allis Grant from MnSCU schools)
    ___ Other (please explain)__________________________________________________
Are you enrolled in a degree program? ___Yes   ___No
    School _____________________________________
    Program_____________________________________
    When is the anticipated completion date?_______________
Student Status:
    ___ Full Time (12 Credits or more)
    ___ Part Time (6 credits)
    ___ 3/4 Time (8 to 10 credits)
    ___ 1 course at a time
Number in household (as on tax form):____


Book Purchase Detail (attach more sheets if necessary):

SemesterCourse Name and Number Book Cost


Scholarship Submission Checklist

___ Application
___ Copy of Book Receipts
___ Copy of Tax Returns Showing Adjusted Gross Income

Please print this form, fill it out, and send it along with your documentation to:
Cook County Higher Education - North Shore Campus - 300 West 3rd Street
P.O. Box 57 - Grand Marais, MN 55604 (218) 387-3411


Gross Income Eligibility Scale for Textbook Scholarship

Percentage of Support From Cook County Higher Education
# in
Family
100% 75% 50% 25% 5% 0%
10 - 11,67011,671 - 14,58814,589 - 20,42320,424 - 23,340 23,341 - 29,92534,093 +
20 - 15,73015,731 - 19,66319,664 - 27,52827,529 - 31,460 31,461 - 40,33645,954 +
30 - 19,79019,791 - 24,73824,739 - 34,63334,634 - 39,580 39,581 - 50,74757,815 +
40 - 23,85023,851 - 29,81329,814 - 41,73841,739 - 47,700 47,701 - 61,15869,676 +
50 - 27,91027,911 - 34,88834,889 - 48,84348,844 - 55,820 55,821 - 71,42681,394 +
60 - 31,97031,971 - 39,96339,964 - 55,94855,949 - 63,940 63,941 - 81,98093,398 +
70 - 36,03036,031 - 45,03845,039 - 63,05363,054 - 72,060 72,061 - 92,391105,259 +
80 - 40,09040,091 - 50,11350,114 - 70,15870,159 - 80,180 80,181 - 102,802117,120 +

Note: Cook County Higher Education will provide textbook financial support up to $125. If your books cost $250, and you receive a 75 or 100% eligibility award, the maximum amount you will receive is $125. This eligibility scale is based on the 2014 Federal Poverty Guidelines.

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