Fillable 9448SEWYDental FORM Southeast Wyoming District Dental Society

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9448SEWYDental FORM Southeast Wyoming District Dental Society

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Produced by LCCC Public Relations PRS 9448 5/12
Southeast Wyoming District
Dental Society
SCHOLARSHIP
Eligibility Criteria:
• AttendLaramieCountyCommunityCollegeasafull-timestudent
• Maintaina2.0gradepointaveragewhileattendingLCCC
(submitacurrenttranscript)
• Highschoolgraduate
• AcceptedintheDentalHygieneprogram
• Enrolledinandcompleted12credithoursintheDentalHygieneprogram
Submitapplication,transcriptsandessaybeforeApril 1.
Name
Address
Street
City, State, ZIP
Social Security Number
Please submit ashortessayexplainingyourgoalsinthedentalhygieneeld.
Explainwhatyournancialsituationwillbewhileyouareattendingschool.
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OfceatLCCCtoreleaseanyinformationthatisapplicabletothisapplication.
_____________________
Date
Essay
Submission Instructions
Submit application before April 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
Scholarship&FinancialAidOce
1400E.CollegeDrive
Cheyenne,WY82007
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9448SEWYDental FORM Southeast Wyoming District Dental Society

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Completed 15 February 2020

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