Frontier Refinery
South Cheyenne Community Development
Scholarship Criteria:
1. Attending LCCC as a part-time or full-time student
2. Resident of Laramie County (South Cheyenne 82007)
3. High School graduate or GED recipient
4. Maintain a 2.0 GPA while attending LCCC
5. Complete FAFSA
Please fill in the following information and submit to the Scholarship and Financial Aid
Office with a copy of your most current transcripts.
Application Deadline: April 1
Name
Address
Street
City, State, ZIP
EDUCATION
High School Diploma GED
Address
Street
City, State, ZIP
College Major College GPA
Enrollment status full-time part-time
Hours enrolled
Expected graduation date
CURRENT SOURCES OF FINANCIAL AID
AMOUNT
Scholarships $
Grants $
Work Study $
Other $
PAST EMPLOYMENT (Please list most recent employer rst.)
Employer Dates of Employment
Address
Street
City, State, ZIP
Produced by LCCC Public Relations PRS 9128 10/09
Employer Dates of Employment
Address
Street
City, State, ZIP
ACHIEVEMENTS
Please list any achievements, personal and/or scholastic including any school or community
organizations in which you are active
What are your career plans following graduation?
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 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