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LCPS Scholarship Donor Form
Please ONLY complete the information below for scholarships that will be awarded to students graduating during the 2023-2024 school year. The following information will help us collect
necessary
information to
disseminate
to our LCPS students for potential
applications
.
A receipt of the information you submit will be sent to you via email.
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* Indicates required question
Email
*
Your email
Name of Scholarship
*
Your answer
Name of Organization
*
Your answer
Description of Scholarship
*
Your answer
Number of Scholarships Available for 2023-2024 School Year
*
Your answer
Amount of each Scholarship
*
Your answer
School(s) that Scholarship will apply to:
*
All LCPS High Schools
Briar Woods HS
Broad Run HS
John Champe HS
Dominion HS
Freedom HS
Heritage HS
Independence HS
Lightridge HS
Loudoun County HS
Loudoun Valley HS
Park View HS
Potomac Falls HS
Riverside HS
W.O. Robey HS
Rock RIdge HS
Stone Bridge HS
Tuscarora HS
Woodgrove HS
The Academies of Loudoun
The North Star School
Virtual Loudoun/Distance Learning
Required
Organization/Scholarship website pertinent to application
*
Your answer
Name of your Scholarship Contact Person who will receive applications and all communication.
*
Your answer
Email Address of Contact Person who will receive applications and all communication:
*
Your answer
Mailing Address of Contact Person who will receive applications and all communication:
*
Your answer
Phone Number of your Contact Person who will receive applications and all communication.
*
Your answer
Requirements
*
Check all that apply:
Merit Based
Need Based
Essay Requirement
Service Requirement
Residency Requirement
Academic Requirement
Class Rank Requirement
National Origin Requirement
Athletic Requirement
Club Requirement
Disability Requirement
Military Requirement
Religion Requirement
Ethnic Requirement
No Requirements
Other:
Required
What type of Scholarship Application will be used by students applying for your scholarship?
*
Electronic
Paper application (website to the online form or a PDF copy of the application will need to be provided).
Other:
Required
If your application is available online, please provide the direct link here. If the application is only available in PDF, please send it to scholarshipinfo@lcps.org
*
Your answer
The scholarship(s) that I am providing can be used for:
*
Only students pursuing an academic degree.
Only students pursuing post-secondary vocational certificate or trade school training.
Students pursuing an academic degree OR post-secondary vocational certificate/trade school training.
Other:
How are scholarship awardees notified?
*Please also email awardee information to scholarshipinfo@lcps.org once they have been selected.
*
Your answer
Scholarship deadline
*
MM
/
DD
/
YYYY
Send me a copy of my responses.
Submit
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