Wyoming Dental
Association Scholarship
SCHOLARSHIP APPLICATION
Scholarship Criteria:
1. Possess and maintain a 2.5 grade point average while attending LCCC
(attach a current transcript)
2. High school graduate
3. Must be a 3rd semester LCCC dental hygiene student
4. Demonstrate financial need (completion of FAFSA required)
Please attach a short essay explaining your goals in the dental hygiene field. Explain
what your financial situation will be while you are attending school.
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
Produced by LCCC Public Relations PRS 9066 9/09
Essay
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