Laramie County Commissioners’
SCHOLARSHIP APPLICATION
310 W. 19th Street, Suite 300, Cheyenne, WY 82001
307.633.4260
Application Deadline: April 1
Name Date of Birth
Address
Street
City, State, ZIP
High School Attended GPA ACT Score
Vocation Choice College Choice
List activities and offices held in school
List volunteer and service activities outside school
Name of Parents or Guardians
Occupation Phone Number
Number in family not self-supporting
The County functions as an arm of the State and must follow and enforce State Statutes.
Nine people are elected into office by registered voters in Laramie County, below is a
list of the titles they hold. Insert the name of the Elected Official currently holding that
title and name two official duties or responsibilities of each office per State Statues.
NAME DUTIES AND RESPONSIBILITIES
Assessor 1.
2.
Clerk 1.
2.
Produced by LCCC Public Relations PRS 9238 12/09
Clerk of District Court 1.
2.
Commissioners (3) 1.
2.
Coroner 1.
2.
Sheriff 1.
2.
Treasurer 1.
2.
First Time Applicant or Renewal
College Attended GPA
Signature Date
Social Security Number of Applicant
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
Note: The following is a copy of the Wyoming statute section 21-17-105, which regulates
this Scholarship Program.
21-17-105. Tuition to be as nearly free as possible; number, qualications and selection
of tution-free students; reciprocal residency.
(a) To the end that none of the youth of the state who crave the benefits of higher
education may be denied, and that all may be encouraged to avail themselves of
the advantages offered by the university or community colleges, tuition shall be
as nearly free as possible, and it shall be wholly free to either the university or
community college in the state, as elected by the student, to three (3) students
annually from each count as are selected and appointed by the board of county
commissioners therein.
(b) Students shall be appointed after due consideration of the individual student’s
extra curricular activity, scholastic ability and American college testing score.
Grade point average and American college testing scores shall be equally
weighted. For any entering student who fails a math or English placement test,
the scholarship is not effective. Notwithstanding the provisions of subsection
(a) of this section, the county commissioners may award one (1) additional
scholarship each year as a renewal to a student maintaining above a 2.5
average, provided that the total number of students receiving original and
renewal scholarships in any county in any year shall not exceed:
(i) Counties of the first class, four (4) students;
(ii) Counties of the second class, three (3) students; and
(iii) Counties of the third class, two (2) students.
(c) Any honor scholarships granted by the University of Wyoming shall be based on
the student’s scholastic ability and American college testing scores. Grade point
average and American college testing scores shall be equally weighted. For any
entering student who fails a math or English placement test, the scholarship is
not effective.
(d) Any person including the spouse and any child of that person shall qualify as a
resident for purposes of tuition at the university if:
(i) His principal employment is located within Wyoming and the income from his
employment is the principal source of income for his family;
(ii) He pays Wyoming taxes as required by law;
(iii) He has been employed within Wyoming for at least a majority of the twelve
(12) consecutive months immediately preceding application for resident
tuition pursuant to this subsection;
(iv) He resides in a state with a law substantially similar to this subsection; and
(v) At the time of enrollment and in accordance with requirements of the
enrolling institution, the person, his spouse or any child of that person
submits to the university or community college a notarized affidavit attesting
to the requirements of this subsection.
Submission Instructions
Submit application before April 1.
Please note the pop-up window that appears after you
click Submit.
1. The 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. The 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.”
The 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