Request edit access
LACOS scholarship application
LACOS is proud to sponsor students in different organizations and schools who are using their skills to help underprivileged communities around the world. Use this form to apply for financial assistance for a mission trip, traveling in 2018. Please fill out all relevant information. Selections will be made based on need, timeline, and answers to the questions.
Full name *
Your answer
Optometry school *
Graduate year *
Your answer
Contact information: email address *
Your answer
Mission trip and/or organization
Your answer
Please describe your main goal for what you will gain from this trip:
Your answer
Other mission trips you have attended:
Your answer
Potential impact to community:
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms