SLCC Scholarship Request Form

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Email *

Parent/Guardian First Name *

Parent/Guardian Last Name *

How many children will you be enrolling? *

Children's Ages *

List the age of each child that you intend to enroll, separated by a comma

Desired Start Date *

YYYY

What scholarship eligibility criteria do you meet?

(Check all that apply)

Active Military

Military Veteran

Emergency Responder

Financial Need

Enrolling Multiple Children

Other:

Household Size

(only answer if applying for financial need scholarship)

Annual Gross Household Income

(only answer if applying for financial need scholarship)

Email Address *

Phone Number *

Questions/Comments?

Submit

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