Produced by LCCC Public Relations PRS 13990 2/14
Kathy Boheler Memorial
SCHOLARSHIP APPLICATION
Scholarship Criteria:
1. The student must have completed at least 24 college level credit hours.
2. The student must have maintained a 2.0 grade point average.
3. The student must be a resident of Laramie County, Wyoming.
4. The student must be enrolled in a degree seeking program of study at Laramie
County Community College.
Application Deadline: June 1
Name Phone
Address
Street
City, State, ZIP
What nancial assistance will you receive to help pay for college?
What are your educational goals?
What is your proudest personal achievement?
Are you currently a member of a credit union?
Yes No
Do not provide the name of the credit union.
Additional Requirements:
1. Attach a student copy of your college transcripts.
2. A short essay on how your educational goals will help build a better future.
By checking this box, I certify that all of the information I have supplied is accurate
and to the best of my knowledge I meet the qualifications for the scholarship.
I consent to have my grades, transcript and/or financial aid information released in
conjunction with this application.
If I am the recipient; I, also, give my consent for my name to be released as the
recipient of this scholarship and for my name and picture to be used in promoting
the scholarship.
__________________________________________________ _____________________
Name Date
Essay
Submission Instructions
Submit application before June 1
Please note the pop-up window that appears after you click
Submit.
1. e window will ask you to select your email client.
2. If you use Microsoft Outlook Express, Microsoft
Outlook, Eudora or Mail, click “OK” in the pop-up
window. e form will be emailed to us.
3. If you use any other client, such as Yahoo or Hotmail,
choose “Internet Email,” then click “OK.
• e computer will save the form to your hard drive.
• Open your email account.
• Attach the form to a message and email it to
FinancialAid@lccc.wy.edu.
4. Please contact Financial Aid at 307.778.1156 to make
sure the form was received successfully.
or
and mail to: Laramie County Community College
Oce of Scholarships & Financial Aid
1400 E. College Drive
Cheyenne, WY 82007
SUBMIT
PRINT