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800 George Wallace Blvd.
Muscle Shoals, AL 35661
256.331.5200

2080 College Road
Phil Campbell, AL 35581
256.331.6200

Email: nwscc@nwscc.edu

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Alabama FAME at Northwest-Shoals Admission Application

Home » Alabama FAME at Northwest-Shoals Admission Application

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Alabama FAME at Northwest-Shoals Admission Application

The Alabama FAME (Federation for Advanced Manufacturing Education) program at Northwest-Shoals Community College (NW-SCC) incorporates an Associate of Applied Science Degree (AAS) in Industrial Systems Technology and two years of paid industry experience.

The following must be completed prior to 4:00 PM on April 30, 2021:

The NW-SCC admissions application
unofficial copies of high school and college transcripts (hard copy emailed to fame@nwscc.edu)
Unofficial or official score report from ACT or ACCUPLACER
Essay
Complete the Career Assessment at https://nwscc.emsicc.com

The complete FAME application and required essay are due no later than 4:00 pm on April 30, 2021. Questions may be directed to Jeff Rogers at 256-331-8038 or jeffrey.rogers@nwscc.edu.

STUDENT INFORMATION

First Name:*

Middle Name:*

Last Name:*

Maiden Name (if applicable)

Date of Birth (Month-Day-Year; EXAMPLE: XX-XX-XXXX):*

Age

Street Address:*

City, State, Zip Code:*

Email (this needs to be checked daily):*

Cell Phone (including area code: ex. XXX-XXX-XXXX):*

NW-SCC Student Number (if known) or Social Security Number:

Race/Ethnicity (optional):

Asian

Black/African American

Hispanic/Latino

Other

Pacifica Islander

White/Caucasian

Gender (optional):

Female

Male

Marital Status:

Military?

No

Yes

Dates of Service (if applicable):

Military Spouse?

No

Yes

Emergency Contact*

Emergency Contact Phone*

EDUCATION INFORMATION

Current High School or College:

Graduation Year:

Enter your ACT scores or ACCUPLACER scores in English and Math. SCORES MUST BE LESS THAN FIVE YEARS OLD. If you have not taken the ACT or would like an opportunity to improve your placement, ACCUPLACER placement testing may be completed at the NW-SCC Testing Center before the application deadline of April 30, 2021.

ACT or ACCUPLACER English Score (indicate if score is from the ACT or ACCUPLACER):*

ACT or ACCUPLACER Math Score (indicate if score is from the ACT or ACCUPLACER):*

If you have completed English 101 or Math 100 (or higher), please indicate your grade below.

Math 100 Grade

Math 110 Grade

Math 112 Grade

English 101 Grade

Have you competed or participated in any of the following

BEST Robotics

First Robotics

SkillsUSA

Project Lead the Way

List any high school extracurricular or community activities. You may also attach a resume.

You may attach your resume here:

List any career technical programs attended, courses completed, and national certifications completed:

Do you have MSSC certifications? If so, please list them below:

List the number of high school absences (excused and unexcused) for FRESHMAN YEAR.

List the number of high school absences (excused and unexcused) for SOPHOMORE YEAR.

List the number of high school absences (excused and unexcused) for JUNIOR YEAR.

List the number of high school absences (excused and unexcused) for SENIOR YEAR.

EMPLOYMENT INFORMATION

Are you currently employed?*

No

Yes

If yes, please list employer:*

How many hours do you work per week?

Do you now, or in the future, require sponsorship to work in the United States?*

No

Yes

CAREER ASSESSMENT - REQUIRED

All FAME applicants are REQUIRED to complete the EMSI Career Assessment at https://nwscc.emsicc.com. Please follow the instructions provided on the Career Assessment for FAME Applicants.

Once you complete the Career Assessment for FAME Applicants, please check your TOP THREE TRAITS listed below:*

Realistic

Investigative

Artistic

Social

Enterprising

Conventional

REQUIRED - A required essay of 300-500 words must be submitted with your FAME application on how participation in the FAME program will assist you in reaching your academic and career goals. Use standard essay format paying close attention to spelling and the standard rules of grammar. The essay must be typed and double spaced using 12 point font. Please include your name on your document.

I agree to share the information in this application, my NW-SCC admission file, and my essay with Alabama FAME companies for the selection of candidates into the FAME program.*

Agree

Disagree

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800 George Wallace Blvd.
Muscle Shoals, AL 35661
256.331.5200

2080 College Road
Phil Campbell, AL 35581
256.331.6200

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