Note:  If necessary, please submit an LFCC application for admission to the Admissions Office before you submit your online scholarship application packet. The application and a new student checklist are available online.

Below is the LFCC Educational Foundation, Inc. scholarship application. Scholarship applications will be accepted through 4 p.m. on March 19, 2010 and will be awarded for the fall 2010 and spring 2011 semesters. Please complete the entire application. Incomplete applications will not be reviewed. Please contact the Financial Aid Office with any questions at 540-868-7131.

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Contact Information

First name:*
Middle initial:*
Last name:*
LFCC Student ID number:*

The student I.D. number is exactly seven numeric characters.

If you do not know your student I.D. number, you can find it by visiting MY LFCC and clicking on the link next to "New to your college?"

Birthdate:*

Please enter a valid date, including month, day and year

Residence Address

Street:*

City:*

State:* Zip:*

Locality:* -- Please select an option -- City of Winchester Clarke County Fauquier County Frederick County Page County Rappahannock County Shenandoah County Warren County None of the above

Mailing Address

Street:

City:

State: Zip:

Telephone number:
Cell phone number:
LFCC student e-mail address:*
Confirm LFCC Student e-mail address:*

Background Information

Name of high school attended:* -- Please select an option -- Central High School Clarke County High School Fauquier County High School James Wood High School John Handley High School Liberty High School Luray High School Millbrook High School Page County High School Page County Technical Center Rappahannock County High School Sherando High School Skyline High School Southeastern Alternative School Stonewall Jackson High School Strasburg High School Triplett Technical Institute Warren County High School Other (please specify below)
If "other", please specify:
Year of completion:* -- Please select an option -- 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933

Currently employed?* -- Please select an option -- Full-time Part-time Not employed
Employer and title/position (former, if retired):

This information is required for some organization-sponsored scholarships.

Please list the name of your parents' employer:

This information is required for some organization-sponsored scholarships.

If you want to be considered for the Cultural Diversity Scholarship, please provide your race or national origin:
Have you applied for financial aid?* -- Please select an option -- Yes No

If you have not, you can apply online at www.fafsa.ed.gov. Applying for federal aid is not required, but this is another option for financing your education.

For the semester you are seeking financial aid, do you plan to attend LFCC:* -- Please select an option -- Full-time Part-time

Full-time students are those enrolled in at least 12 credits during a semester. Part-time students are those enrolled in fewer than 12 credits during a semester.

Program of study for the semester you are seeking financial aid:* -- Please select an option -- Accounting Administrative Support Tech (AST) AST: Administrative Assistant AST: Desktop Publishing Specialization Business Administration Ceramic Arts Construction Technology Database Administration Professional Database Administration Specialist Desktop Publishing Technician Drafting Early Childhood Education Education Electrical Technician Electronic Commerce EMT Enhanced EMT Intermediate Fine Arts General Business General Engineering Technology (GET): Mechanical Engineering Technology General Studies GET: Civil Engineering Technology GET: Computer-Aided Drafting GET: Industrial Electricity & Controls Technology Specialization Graphic Design Office Assistant Horse Science HVAC (Heating/Ventilation/AC) Industrial Design Industrial Maintenance Technician Information Processing Technician Information Systems Technology (IST) Information Technology Foundations Information/Network Security Instructional Assistant-Primary Instructional Assistant-Secondary Interior Design IST: Database Administration IST: Network Engineer Specialization IST: Web Applications Development Kitchen & Bath Design Legal Assistant/Paralegal Studies Liberal Arts Liberal Arts: Communication Specialization Liberal Arts: Fine Arts Specialization Liberal Arts: Philosophy and Religion Specialization Management Management: Business Information Management: Marketing Specialization Medical Billing/Coding Medical Secretary/Transcription Networking Engineering Professional Networking Specialist Nursing Office Systems Assistant Pending Admissions – Dental Hygiene Pending Admissions – Nursing Pending Admissions – Practical Nursing Pending Admissions – Surgical Tech Pending Admissions - EMS Phlebotomy Photography-Nature & Outdoor Police Science Practical Nursing Psychological Services Aide Real Estate Sales Residential Services Assistant Sales Management & Marketing School-age Child Care Science Sign Communication Small Business Management Supervision Technical Writing Veterinary Assisting Web Application Development Web Design Specialist
Primary LFCC location you are attending:* -- Please select an option -- Fauquier Campus Luray-Page County Center Middletown Campus
Do you plan to transfer to a four-year institution upon graduation from LFCC?* -- Please select an option -- Yes No
If yes, please provide the name of the institution: -- Please select an option -- Bridgewater University Eastern Mennonite University George Mason University James Madison University Liberty University Longwood University Mary Baldwin College Old Dominion University Radford University Shenandoah University Shepherd University University of Virginia Virginia Commonwealth University Virginia Tech University West Virginia University Other (please specify below)
If "other", please specify:
Please select the statement that best describes your mother's level of higher education:
My mother…* -- Please select an option -- graduated from a two-year college graduated from a four-year college attended college but did not graduate did not attend college
Please select the statement that best describes your father's level of higher education:
My father…* -- Please select an option -- graduated from a two-year college graduated from a four-year college attended college but did not graduate did not attend college
Are you a full-time employee at LFCC?* -- Please select an option -- Yes No
Are you an immediate family member of a LFCC employee?* -- Please select an option -- Yes No
If "yes", please provide employee name and relation:

Eligibility Requirements

Please check all that apply (this information will be used to determine eligibility for various scholarships):
I:

am a dependent of a Rotarian or a member of the Rotary Club

am a dependent of a Fisher Diagnostic employee

am a Carmeuse Lime & Stone employee or dependent

am a Henry and William Evans Home for Children Inc. resident

am a National Fruit Product Co. employee or dependent

am a Perry Judd's employee or dependent

am a single parent

am a Student Learning Center tutor, am willing to continue, and have attached the two required recommendation forms for the Learning Assistance Center Tutor Scholarship (visit www.lfcc.edu/scholarships for requirements)

am a TRIO tutor, am willing to continue, and have attached the two required recommendation forms for the Learning Assistance Center Tutor Scholarship (visit www.lfcc.edu/scholarships for requirements)

am a Virginia resident

have resided in Shenandoah County for at least the last three years

am active in performing arts

am employed in the real estate field or pursuing a career in real estate

am physically disabled

am pursuing a career in Human Resource Management

perform community service

received a GED

work with autistic children

am returning to school for training to re-enter the workforce or to upgrade business or technical skills

am entering a career field for the first time

am enrolled in an Applied Science Degree or Career Studies Certificate program

am interested in the Warrenton Rotary Club Scholarship and have attached the additional documentation required for that scholarship (visit www.lfcc.edu/scholarships for requirements)

am an LPN at the Winchester Medical Center

reside in the Mt. Olive or Atoka Road areas of Rectortown, VA

am an employee at Shenandoah Valley Westminster-Canterbury in Frederick County

Essays

In the box below, please submit a one-page essay (between 3,000 and 4,000 characters) discussing: 1) your goals and purposes to be served by a scholarship; 2) educational objectives; 3) professional objectives; 4) any extracurricular activities/life experiences (e.g. athletics, scouts, community service); and 5) how a scholarship will benefit you financially. Please do not include your LFCC student I.D. number, name or Social Security number in the essay.If you are copying information from a Microsoft Office program, such as Word, Outlook or Excel, please use the Paste Word button to paste the information into the editor.Once you have pasted the information, it might be necessary to clean up the text by removing extraneous spaces and paragraph breaks. Before doing so, please perform an automatic clean-up by using the Clean Up button.*
If you meet the requirements and would like to be considered for the Commonwealth Legacy Scholarship Program, please answer the following questions in a second one-page typed essay (between 3,000 and 4,000 characters):

• What does community college education mean to you, and how would you promote it?
• How would you mentor future scholars? What would be your message to them?
• Describe two areas in which you are interested in developing your leadership skills. If you are copying information from a Microsoft Office program, such as Word, Outlook or Excel, please use the Paste Word button to paste the information into the editor.Once you have pasted the information, it might be necessary to clean up the text by removing extraneous spaces and paragraph breaks. Before doing so, please perform an automatic clean-up by using the Clean Up button.

Merit Scholars Applicants Only

I have completed the Merit Scholars Scholarship application form and understand that I must complete an essay at the Testing Center in order to be eligible for this scholarship.

Acceptance of Terms

I have submitted my most recent high school or college transcript to the Financial Aid Office for review.*

Transcripts should be submitted by all first time LFCC attendees. If you are beyond your first semester or have been dual-enrolled, a transcript is not required.

I authorize the Admissions and Records Office and the Financial Aid Office to release information about me to the scholarship committee and appropriate staff.*

I agree to appear before the scholarship committee for a personal interview if asked.*

If I am selected for a scholarship, I authorize the release of biographical information for use in publicity related to the scholarship program. I understand that anything I write as part of my scholarship application may be shared with the scholarship donor and/or used for publicity in College and LFCC Educational Foundation Inc. written materials, online information and media opportunities.*

I further agree that I will notify the Financial Aid Office of any changes that would affect my eligibility for any scholarship award (changing my program of study and auditing, dropping and withdrawing from classes, for example).*

I understand that I will be asked to serve as an ambassador or representative of LFCC at events during the year.*

If selected to receive a scholarship, I understand that I will be required to write a thank-you note to the scholarship's donor and meet with the donor at appropriate functions.*

I understand that my contact information will be entered into the Foundation's database and that I may be contacted in the future by the Foundation.*

If you need assistance completing this application, please contact the Financial Aid Office at 540-868-7130 or fina…@lfcc.edu.

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