Produced by LCCC Public Relations PRS 9130 3/15
Mark Alan Doherty
MEMORIAL SCHOLARSHIP
In Memory of Mark Alan Doherty
1966-1988
Scholarship Criteria:
1. The student must have or maintain a 2.0 grade point average.
2. The student must be a graduating senior from a Laramie County High School.
3. The student will enroll in college as a full-time student.
Application Process:
1. Complete the application below.
2. What college will you be attending? _____________________________________
3. Attach a transcript, include ACT scores.
4. Write an essay describing the following:
A. School activities, sports (including golf) and clubs including honors/
awards. Please describe any participation in organized golf activities.
B. Volunteer activities for school, church or other organizations. Any other
community involvement.
C. Employment history.
D. Include an explanation of why you want to continue your education, and
explain your plans for the future after your graduation.
E. Tell us about any unusual circumstances that may be an obstacle for
attending college.
5. Return your completed application to either the designated high school senior
scholarship coordinator or LCCC Financial Aid Office no later than April 1.
PRINT IN INK OR TYPE APPLICATION:
Name Phone
Address
Street
City, State, ZIP
Father’s Name Occupation
Mother’s Name Occupation
Number in household Number in college during the next academic year
How much money have you saved for college? Planned College Major
Other scholarships you will be receiving
Essay
By checking this box, I certify that all of the information I have supplied is accurate. I give
my consent for my name to be released as the recipient of any scholarship I am awarded.
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 email client.
2. If you use Microsoft Outlook Express, Microsoft
Outlook, Eudora or Mail, click “OK” in the pop-up
window. e form will be emailed 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 email account.
• Attach the form to a message and email 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 Oce
1400 E. College Drive
Cheyenne, WY 82007