Goins Alumni Scholarship
APPLICATION
Scholarship Criteria:
1. Student will attend LCCC full-time or part-time
2. Possess a high school diploma or GED
3. Possess and maintain a 2.5 grade point average
4. Student will be a Goins Elementary alumni (having attended Goins
Elementary for at least one year) OR
5. Student is a Goins Elementary staff member
Application Deadline: April 1
Name
Address
Street
City, State, ZIP
Phone Number
Date you attended Goins Elementary School
Social Security Number
Type a brief statement addressing the following items:
1. How will financial assistance help you reach your career goals?
2. Current employment and number of hours worked per week?
3. Other financial aid applied for and received this year (please specify
approximate dollar amounts).
By checking this box, I hereby certify the provided information is accurate to the
best of my knowledge. I also certify that I will allow the Scholarship and Financial
Aid Office at LCCC to release any information that is applicable to this application.
_____________________
Date
Produced by LCCC Public Relations PRS 9237 12/09
Statement
Submission Instructions
Submit application before April 1.
Please note the pop-up window that appears after you
click Submit.
1. The window will ask you to select your e-mail client.
2. If you use Microsoft Outlook Express, Microsoft
Outlook, Eudora or Mail, click “OK” in the pop-up
window. The form will be e-mailed to us.
3. If you use any other client, such as Yahoo or Hotmail,
choose “Internet Email,” then click “OK.”
The computer will save the form to your hard drive.
Open your e-mail account.
Attach the form to a message and e-mail it to
FinancialAid@lccc.wy.edu.
4. Please contact Financial Aid at 307.778.1156 to make
sure the form was received successfully.
SUBMIT
or
PRINT
and mail to: Laramie County Community College
Scholarship & Financial Aid Office
1400 E. College Drive
Cheyenne, WY 82007