Produced by LCCC Public Relations PRS 9065 9/09
Union Pacific Corporation
DIESEL TECHNOLOGY SCHOLARSHIP
Scholarship Criteria:
1. Attend Laramie County Community College as a full-time student
2. Be a resident of the state of Wyoming
3. Maintain a 3.0 grade point average while attending LCCC
(submit a current transcript)
4. Be enrolled in the Diesel Technology Program
Are you an employee or dependent of the
Union Pacific Corporation, its affiliates or
the Union Pacific Foundation?:
Yes No
This scholarship is not based solely on financial need but a financial statement is
required. Please submit a brief narrative explaining financial circumstances. Please
include in your statement any scholarships or additional financial aid you may be
receiving.
Name
Address
Street
City, State, ZIP
Social Security Number
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
Financial Circumstances
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 e-mail client.
2. If you use Microsoft Outlook Express, Microsoft
Outlook, Eudora or Mail, click “OK” in the pop-up
window. e 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.
• e 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