Lakeshore Technical College - Scholarship Application

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Scholarship Application

* = required field

*Last Name:

*First Name:

*Date of Birth (YYYY-MM-DD):

*Address:

*City:

*State:

*Zip Code:

*Phone:

*LTC Student ID Number:

*Last 4 digits of your Social Security Number:

High School:

*Are you a new or returning student?

New Returning

*Do you plan to enroll as a part-time or full-time student in the coming semester?

Part-Time Full-Time

*Are you a veteran of the United States armed forces?

Yes No

*Do you plan to submit a FAFSA to the LTC Financial Aid Office?

Yes No

*What is your cumulative GPA for the last completed semester of your education?

*How many credits do you plan to take in the coming semester?

*How many semesters have you attended LTC (including the present semester)?

Please list any club memberships or organizations at LTC or in the community:

Please list any volunteer activities at LTC or in the community:

*Please tell us why you are attending LTC (75 word maximum):

*Please describe your financial needs:

I certify that my answers are true and complete to the best of my knowledge.

If this application leads to a scholarship award, I understand that false of misleading information in my application may result in disqualification.

*I accept these terms.