Technical School Scholarship Application

Board of Cooperative Educational Services
PO Box 596, Lovell, WY 8243
Office: 307-548-6466
Fax: 307-548-6474

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Date / Time *

Phone *

Email *

Dates of Class *

Name of Institution Offering Class *

Student ID Number *

Name of School/ Institution Contact *

First

Last

If you are a recipient of this scholarship, payment will be sent directly to this names institution.

School/ Institution Contact Phone # *

School/ Institution Address *

Address Line 1

Address Line 2

City

State

Zip Code

Monthly Income *

Annual Income *

Please write a pragraph explaining why you should be considered for this scholarship: *

Please write a paragraph describing your future plans in this career: *

List 2 (two) of your strengths that would be an asset for this profession: *

List 2 (two) of your weaknesses that would be improved by this profession: *

How did you learn about this scholarship? *

If applicable, please upload any pertinent information necessary.

Drag & Drop Files, Choose Files to Upload You can upload up to 5 files.

You will be notified within one week of receipt of completed application.