Produced by LCCC Public Relations PRS 13990 2/14
Kathy Boheler Memorial
SCHOLARSHIP APPLICATION
Scholarship Criteria:
1. The student must have completed at least 24 college level credit hours.
2. The student must have maintained a 2.0 grade point average.
3. The student must be a resident of Laramie County, Wyoming.
4. The student must be enrolled in a degree seeking program of study at Laramie
County Community College.
Application Deadline: June 1
Name Phone
Address
Street
City, State, ZIP
What nancial assistance will you receive to help pay for college?
What are your educational goals?
What is your proudest personal achievement?
Are you currently a member of a credit union?
Yes No
Do not provide the name of the credit union.
Additional Requirements:
1. Attach a student copy of your college transcripts.
2. A short essay on how your educational goals will help build a better future.
By checking this box, I certify that all of the information I have supplied is accurate
and to the best of my knowledge I meet the qualifications for the scholarship.
I consent to have my grades, transcript and/or financial aid information released in
conjunction with this application.
If I am the recipient; I, also, give my consent for my name to be released as the
recipient of this scholarship and for my name and picture to be used in promoting
the scholarship.
__________________________________________________ _____________________
Name Date
