YWCA/LCCC Foundation
SCHOLARSHIP
This scholarship must be used toward the payment of licensed day care,
tuition and fees, books or transportation for mothers who are in attendance at
LCCC. The number and amount of scholarships will vary.
Scholarship Criteria:
1. Resident of Laramie County
2. Demonstrate financial need
3. Enrolling or currently attending LCCC
Application Deadline: April 1
Name
Social Security Number
Address
Street
City, State, ZIP
Name and relation of individual(s) with whom the student currently resides
(i.e. parents, spouse, relatives, friends, self, etc.) as well as the names and ages
of the student’s children.
Name Relation
Name Relation
Name Relation
Name of Child Age
Name of Child Age
Name of Child Age
Name of Child Age
Name of Child Age
Date residency began in Laramie County ________________
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 9456 12/09