Copies to School and Financial Aid
Laramie County Community College
School of Arts and Humanities Dean’s Office
1400 East College Drive
Fine Arts Building, Room 162
Cheyenne, WY 82007
lccc.wy.edu
School of Arts and Humanities Scholarship Application
Section A: (to be completed by student Please Print) New Student Returning Student
____________________________________________________________________ __________________________________________________
Full Name Student ID Number
____________________________________________________________ __________________________________________________________________________
Phone Number Email Address
_____________________________________________________________________________________________________________________________________________
Mailing Address City State Zip
Major: _________________________________________________________ Please attach a screenshot of GPA from last completed term.
Areas of scholarship interest (check all that apply):
Art
Communication
Education
English
High Plains Register
Mass Media/Multimedia/Wingspan
Modern Languages
Music
Theatre
- PLEASE REVIEW DEPARTMENT-SPECIFIC SCHOLARSHIP CRITERIA -
Section B: (to be completed by LCCC representative)
Student Status: in state out of state WUE
Semester: Fall Spring Summer Year: 20_____
Talent Award $_______________
Total Tuition and Fees $_______________
FAFSA plus other non-loan assistance/Total grants and awards $_______________
Remaining tuition and fees $_______________
Total award $_______________
Section C:
I understand that this offer is contingent upon meeting any requirements specified in the School of Arts and Humanities scholarship
guidelines. I understand that adjustments to the financial aid package may be necessary to comply with program requirements. This is
a recommendation only and does not become final until the student receives an official award letter from the LCCC Financial Aid
Office.
By signing this document, the signer/student indicates he/she has read and understands the terms and conditions of this scholarship.
Student Signature
LCCC Representative Signature
School Dean’s Signature
Date