Core Class Scholarship Form – Leadership Lancaster

Core Class Scholarship Request Form

Completed scholarship request forms must be submitted online by May 8, 2025.

Your Name*

First Last

Business/Organization*

Title*

Email*

Anticipated sources of support for tuition*

Select All
Employer
Self
Community Organization
Place of Worship
None
Other

Check all that apply

I have asked my employer/organization to support my Core Class tuition*

Amount of employer/organization contribution*

Amount of assistance sought

Scholarship request*

How much will you personally contribute?*

Minimum $150

A payment plan option is available in which tuition is paid over an agreed upon period of time. Are you requesting this option?*

Describe any special circumstances that should be considered in your request for tuition assistance:*

(Maximum two paragraphs)

Any additional comments?

(2 paragraph limit)

Scholarship requirements

All recipients must pay $150 of the tuition fee within four weeks of acceptance in order to hold their place. Recipients must agree to the attendance policy.

Name*

First Last

I understand and agree to the above requirements

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Core Class Scholarship Form.

Amount of assistance sought

Scholarship requirements

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