Scholarship Renewal Application

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Scholarship Renewal Application

This form is to apply for a scholarship for an additional course or program beyond the original application you submitted for the current program year (July 1 – June 30). No additional letter of intent or recommendation is required.

Email Address *

Full Name *

Please enter any contact information that has changed since you first applied for a scholarship.

Please list the course or program you wish to apply for. *

Please enter the start date of the course or program. *

YYYY

What goodwill offering are you able to make toward the cost? *

Are you receiving financial assistance from another source for this specific course or program? If yes, please include the amount. *

If you answered "yes" to the previous question, please indicate the amount.

Please confirm the following: *

I acknowledge that I have already submitted a complete scholarship application packet within the current program year (July 1 - June 30).

I understand that submitting this renewal does not guarantee that I will be awarded a scholarship.

Should I be granted a scholarship, I understand that I will be asked to provide a letter of acknowledgement thanking the benefactor(s) whose generosity allows LIS to bestow these scholarships.

Required

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