Todd Gilbert
MEMORIAL SCHOLARSHIP
The Todd Gilbert Memorial was established in memory of a dear
friend. His memory will live on through enriching the lives of others.
By providing this scholarship, students will be able to pursue their
dreams of education.
Application process:
F complete this form
F attach a short essay explaining educational goals, EMS career goals and
financial status while attending LCCC (include other scholarships and
financial aid that you know about at time of application)
F attach a current transcript of your most recent educational institution
(high school or college)
F Wyoming resident
F attending LCCC either part-time or full-time
F Current AMR, Cheyenne employees will get priority
Application Deadline is November 1.
Name
Address
Street
City, State, ZIP
Social Security Number
Major
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
The selection committee will make their decision and notify the recipient by mail.
Produced by LCCC Public Relations PRS 13372 6/12
Short essay explaining educational goals, EMS career goals and financial status while attending
LCCC (include other scholarships and financial aid that you know about at time of application).
Submission Instructions
Submit application before November 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.
or
andmailto: LaramieCountyCommunityCollege
Scholarship&FinancialAidOce
1400E.CollegeDrive
Cheyenne,WY82007
SUBMIT
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