SLCC Scholarship Request Form
Email address *
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 *
MM
/
DD
/
YYYY
What scholarship eligibility criteria do you meet?
(Check all that apply)
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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