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
Please type a statement with information concerning financial status, educational goals, achievement,
employment, and club/activities.
Students must complete a FAFSA form and have the results sent to the LCCC Scholarship and
Financial Aid Office. The FAFSA form is available from the LCCC Scholarship and Financial Aid
Office or local high school counseling centers.
Individuals can maintain scholarship for three years. Recipients must reapply every year.
To renew scholarship, individual must continue to meet all of the criteria, in addition to maintaining
satisfactory academic progress as defined by LCCC.
Submission Instructions
Submit application before April 1.
Please note the pop-up window that appears after you
click Submit.
1. The 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. The 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.”
The 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