OLLI at UNLV Scholarship Application
Please answer the questions below. An OLLI scholarship will cover approximately 75% of membership fees with the recipient responsible for the remainder ($55/annual, $35/semi-annual, $27/semester, $12/summer). 
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Phone *
Address: *
Membership Number (ex. X00-00-0000)
Scholarship Type *
Have you received an OLLI Scholarship before? *
What classes/type of classes do you hope to take? *
Describe your past or anticipated level of participation as a student, volunteer, committee member, or in any other activity contributing to the OLLI learning community. *
Feel free to describe any financial circumstances or provide other information that should be considered. *
By typing your name below, I affirm the information I have provided is accurate and true. I further affirm that I will be a positively contributing member of OLLI at UNLV, abide by the policies of the institute and the university, and that failure to do so may result in ineligibilty for future scholarships. *
Today's Date *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of University of Nevada, Las Vegas. Report Abuse