Doug Beach
Memorial Scholarship
SCHOLARSHIP APPLICATION
The Doug Beach Memorial was established in memory of a dear friend who
lost his life while mountaineering in the summer of 2006. It is the hope of
Doug’s family and friends that his memory will live on through enriching the
lives of others. By providing this scholarship, students will be able to pursue
their dreams of education.
Application Process:
1. Complete this form
2. Attach a short essay explaining educational goals and financial status while
attending LCCC (include other scholarships and financial aid that you know
about at time of application)
3. Attach a current transcript of your most recent educational institution
(high school or college)
4. Wyoming Resident
5. Attending LCCC either part-time or full-time
Name
Address
Street
City, State, ZIP
Social Security Number
College Major
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 9053 9/09
Essay
The selection committee will make their decision and notify the recipient by mail.
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 e-mail client.
2. If you use Microsoft Outlook Express, Microsoft
Outlook, Eudora or Mail, click “OK” in the pop-up
window. e 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.
• e 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