Wyoming Trucking Association
Scholarship Program
APPLICATION
School you plan to attend Major
Previous Wyoming Trucking Association Scholarship recipient
Yes No
The award will be paid to the school of the applicant’s choice for his/her use.
The Wyoming Trucking Association will offer scholarships from the WTA Scholarship
Fund, certain member companies and individual memorial scholarships for the
current year.
To qualify, students must:
1) be a graduate of a Wyoming high school;
2) plan to pursue a course of study which will lead to a career in the
Highway Transportation Industry with the following approved courses
of study: business management, computer skills, accounting, office
procedures and management, safety, diesel mechanics and truck driving;
3) attend a Wyoming school (University, Community College, or trade
school) approved by the WTA Scholarship Committee.
Applications must be submitted by March 5.
BIOGRAPHICAL DATA
Full Name (Last, First, MI)
Parents’ Names and Occupations
(be specic-weighting will be given to ‘trucking industry related’ dependents)
Address
Street
City, State, ZIP
Phone Number Birth Date
Social Security Number Marital Status
High School Year of Graduation
High School Grade Point Average SAT/ACT Test Scores
Submit 7th semester transcript. Proof of graduation will be required.
College Attended Dates
College Grade Point Average
Submit Transcript
Produced by LCCC Public Relations PRS 9455 5/12
Type a one-page essay on “How is the trucking industry important to you and the State of Wyoming.”
Type a brief summary of your activities and work experience. Include school, community, church, etc.
Type a brief statement describing your nancial need for this scholarship award.
Type a brief statement which includes your plans for the future, your career and life goals
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
Submission Instructions
Submit application before March 5.
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
SUBMIT
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