Produced by LCCC Public Relations PRS 1111 11/16
Spring Scholarship Applicaon Form for LCCC Women
sponsored by
Chapter C of P.E.O.
Cheyenne, Wyoming
Return the completed applicaon to the Financial Aid Oce by December 19
To qualify for these scholarships you must:
• Beawomanwithnancialneed
• ResideinLaramieCounty
• Becurrentlyenrolled:
• Takingatleast12credithourstoqualifyforafull-mescholarship
• Takinglessthan12credithourstoqualifyforapart-mescholarship
• HaveacurrentGradePointAverageof3.0orabove
• Be returning for the spring semester
Completely ll out this form and sign it, following these instrucons:
• Havethisformsignedbyafacultymemberwhorecommendsyou
• Aachtypedanswerstothefourquesonsfoundbelow
• Ifyouhavebeenherepriortothissemester,aachacopyofyourcurrentLCCCtranscript
• IfthisisyourrstsemesteratLCCC,askyourinstructorsforanesmateofyourcurrent
gradeineverycourseyouaretaking.Aachthisinformaon.
Name
LocalStreetAddress
LocalCity LocalPhone
Totalnumberofcredithoursearnedbytheendoflastsemester
Numberofcredithourstakingthissemester
Numberofcredithoursplannedforthespringsemester
CurrentGPA Major Ancipateddate
ofgraduaon
Age
MaritalStatus
S M D W
NumberofChildren
Thefollowinganswersmustbetypedonaseparatesheetofpaper.
1. Whatisyourcareergoal?
2. Whydoyouneednancialassistance?
3. Howwillyouusethisscholarship?
4. Areyoucurrentlyreceivinganyotherformofnancialaid,educaonalloansorscholarships?
Ifso,pleaseprovidealist.
StudentSignature Date
FacultySignature Date