Fillable Robert E. Rennard Memorial Scholarship LARAMIE COUNTY COMMUNITY (Laramie County Community College)

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Robert E. Rennard Memorial Scholarship LARAMIE COUNTY COMMUNITY (Laramie County Community College)

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The Robert E. Rennard Memorial Scholarship LARAMIE COUNTY COMMUNITY (Laramie County Community College) form is 4 pages long and contains:

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Produced by LCCC Public Relations PRS 9237 12/09
Robert E. Rennard
Memorial Scholarship
LARAMIE COUNTY COMMUNITY COLLEGE
APPLICATION FOR SCHOLARSHIP
Application Deadline: June 1
PERSONAL INFORMATION
Name in Full
Last, First, Middle
Permanent Address
Street
City, State, ZIP
Phone Number
Current Address
Street
City, State, ZIP
Phone Number
Birthdate (MM/DD/YYYY) Age
Sex: Female Male
Number of Older Brothers and Sisters Number Younger
Marital Status: Single Married Separated Divorced Widowed
If married, is your spouse employed? Yes No
Number of Dependents
Occupation of Spouse
Father’s Name
Address
Street
City, State, ZIP
Father’s Occupation and Employer (if retired, list previous occupation)
Mother’s Name
Address
Street
City, State, ZIP
Mother’s Occupation and Employer (if retired, list previous occupation)
Yes No
EDUCATIONAL INFORMATION
High School Last Attended
Name, City, State
Dates Attended Date Graduated Cumulative Grade Point Average
Ranked in Senior Class of
Colleges or Universities Attended Prior to Current Year:
a.) _______________________________________________
b.) _______________________________________________
Date of Initial Attendance at Laramie County Community College
Total Number of College Hours Attempted Number Passed
Accumulated Grade Point Average in College
List any trade or vocational schools (non-high school) attended with dates and courses taken
List your currently planned profession, occupation, trade, vocation or college major
A Statement of paragraph length of your occupational and life goals
List scholarships, grants, and amounts of financial aid you are receiving during the current year
List scholarships and other financial assistance that you will probably have available during this coming school year
ACTIVITY PARTICIPATION (list and describe)
Extracurricular activities in which you participated while in high school, positions held and honors received
Extracurricular activities in which you participated while in high school, positions held and honors received
List non-school civic and community activities and positions held
(Examples: Scouts, 4-H, Little League, Job’s Daughter’s, Youth for Christ, church, choir)
Enumerate any outstanding achievements and awards in high school or college in music, speech, science, English,
history or other areas
WORK EXPERIENCE
Positions held in gainful employment during the last two years of high school.
Place of Employment Job Dates Weekly Wages
Total amount earned in the last 12 months
Amount used for college expenses
REFERENCES
Give name, full address and occupation or position of three references, not related to you who can give a valued opinion
of your character, industry, cooperation, initiative, leadership, reliability, and disposition.
Name Complete Address Occupation or Position
I hereby authorize release to the Selection Committee by my high school, Laramie County
Community College, current and former employers, and references and activity sponsors,
information on my courses, grades, employment, finances, activities and character.
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
BASIS OF ELIGIBILITY AND ESSENTIAL INFORMATION
1. Applicants must be graduates of Wyoming High Schools.
2. A Laramie County Community College transcript is required with the
application if the applicant has attended LCCC.
3. An applicant may submit Xeroxed newspaper clippings, letters, etc., that
could add support to the application.
4. The selected recipient will be expected to be a full-time student during the
year the scholarship is used and earn a minimum grade point average of 2.0
each semester.
5. Selection will include consideration of academic achievement, leadership
potential, activity and job participation, and financial need.
6. The scholarship will be for $300 each year. The Selection Committee may
award two $150 scholarships in case of two equally qualified applicants. The
Director, Division of Student Financial Aid and Scholarships, Laramie County
Community College, will be requested to distribute one half of the amount of
the scholarship at the beginning of each semester.
7. Applications must be submitted by June 1 previous to the academic school
year the scholarship is desired.
8. The decision of the Selection Committee of the scholarship recipient will be
final.
9. The Scholarship Committee will select the recipient and then notify the
Division of Student Financial Aid and Scholarships at Laramie County
Community College of the student granted the scholarship. The Division will
notify the recipient and arrange for issuance of the checks on a semester basis.
Submission Instructions
Submit application before June 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
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Robert E. Rennard Memorial Scholarship LARAMIE COUNTY COMMUNITY (Laramie County Community College)

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Completed 27 July 2020

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