American Association of
University Women
CHEYENNE BRANCH
Higher Education for Returning Student Scholarship
Name
Address
Street
City, State, ZIP
Phone
Age Marital Status Children/Ages
Present Employment (Full or Part-time) Where:
Spouse Employment (Full or Part-time) Where:
Number of years between start of college program and return for present studies?
What College or University will you be attending?
What is your major? How many hours have you accumulated?
Number of hours attempting this semester? Number of hours attempting this year?
Have you applied for other nancial aid? Yes
No
Are you receiving other nancial aid? Yes
No
If so, what?
Please submit the following supportive information.
1) In a brief personal statement
a) describe your need for financial aid
b) explain why you are returning to school
c) describe what you plan to do after graduation.
2) Include a signed statement from your advisor outlining your plan of study toward
a degree.
3) Include a current copy of your transcripts.
4) Include any letters of recommendation that could strengthen your request.
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
Deadline is June 1 of the current year.
Produced by LCCC Public Relations PRS 13141 5/12
