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Kickstart Wyoming’s Tomorrow Scholarship Application
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Kickstart Wyoming’s Tomorrow Scholarship Application
Name
(Required)
First
Last
Student ID number
(Required)
Date of birth
(Required)
MM slash DD slash YYYY
Phone
(Required)
Email
Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
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Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
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Uruguay
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Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
I have been a Wyoming resident since (year)
I am applying for a Kickstart Wyoming’s Tomorrow Scholarship for the program indicated below
(Required)
I am a Wyoming resident and have been for a least one full calendar year prior to submitting this application.
(Required)
Yes
No
I am a US Citizen or an eligible non-Citizen who meets the definition of eligible non-citizen under federal Title IV requirements.
(Required)
Yes
No
I am at least 24 years of age by the commencement date of the semester where this scholarship is sought
(Required)
Yes
No
I have completed the FAFSA* and I am eligible to receive federal student aid.
(Required)
Yes
No
*If you have not yet completed the FAFSA for the academic year for which you are applying for a Wyoming’s Tomorrow Scholarship, visit https://studentaid.gov/ to complete the FAFSA as soon as possible. EWC’s school code is 003929.
I am receiving, or expect to receive, a Hathaway scholarship.
(Required)
Yes
No
I anticipate receiving financial assistance other than a Kickstart Wyoming’s Tomorrow Scholarship for my enrollment in my for-credit or non-credit program
(Required)
Yes
No
I have received a Kickstart Wyoming’s Tomorrow Scholarship in a previous semester.
(Required)
Yes
No
If I have received a Kickstart Wyoming’s Tomorrow Scholarship from a college other than EWC, I have requested that my official academic transcript be sent to EWC.
(Required)
Yes
No
If I have received a Kickstart Wyoming’s Tomorrow Scholarship in a previous semester from EWC or another college, I have maintained continuous enrollment since receiving the scholarship.
(Required)
Yes
No
I will receive an industry sponsorship for my intended Kickstart Wyoming’s Tomorrow Scholarship program
(Required)
Yes
No
I have previously earned a post-secondary credential (certificate or degree)
(Required)
Yes
No
I agree to register, or have previously registered, for any available training assistance from the Wyoming Dept. of Workforce Services, as required by the Wyoming’s Tomorrow Scholarship program’s statute.
(Required)
Yes
No
I do not owe a refund under federal Title IV student financial aid programs or a subsequently enacted federal student financial aid program, or a student financial aid program administered through the state.
(Required)
Yes
No
I am incarcerated.
(Required)
Yes
No
I will begin enrollment in this program in
Fall
Spring
Summer
I agree to register, or have previously registered, for an account on the Department of Workforce Services wyomingatwork.com system.
(Required)
Initial above
I agree to review, or have previously reviewed, information regarding DWS training and educational assistance and services.
(Required)
Initial above
Consent
(Required)
I attest that this information is accurate.
I authorize Eastern Wyoming College to collect and share, at minimum, personally identifying information, collected through the college’s admission or grant state application, the FAFSA, or other method, enrollment information, and all other information necessary to determine my eligibility for a student grant (including past receipt of student grants or other state financial aid receipts) with other Wyoming Community Colleges and the Wyoming Community College Commission. I declare under the penalty of perjury that the information furnished is, to the best of my knowledge and belief, true, correct, and complete.
I acknowledge that funding for the Kickstart Wyoming’s Tomorrow Scholarship programs that span more than one year is subject to the availability of funds as provided by the Kickstart Wyoming’s Tomorrow Scholarship Endowment and is contingent on the State Treasurer transferring monies to the Kickstart Wyoming’s Tomorrow Scholarship Expenditure account.
I acknowledge that institutional awarding priority for qualified applicants shall prioritize students in the following categories, in the following order, and that I may not receive a Kickstart Wyoming’s Tomorrow Scholarship despite meeting all student eligibility criteria if I do not otherwise meet priority awarding criteria: (1) students who receive a scholarship in the immediately preceding term, (2) students with an industry sponsorship, (3) students entering a program of study determined to be a high need to economic growth or economic development opportunity area determined by the Commission, (4) students who have not previously obtained a postsecondary credential, (5) all other applicants. I further acknowledge that any scholarship awarded by EWC is provisional until certified by the Wyoming Community College Commission and certification is not guaranteed.
I acknowledge that my requirements to maintain student eligibility to receive a Kickstart Wyoming’s Tomorrow Scholarship include (1) maintaining continuous enrollment for not less than two academic terms in each successive academic year, (2) maintaining a cumulative Grade Point Average of at least 2.0 each and completing at least two-thirds of all attempted credits each semester, (3) filing an annual scholarship application and FAFSA, and (4) having financial need as calculated annual by the Financial Aid Office. Awards are permanently discontinued once a student has received a Kickstart Wyoming’s Tomorrow Scholarship for the maximum equivalent of four full-time academic semesters or $7,200, whichever comes first. Students who forfeit eligibility for failing to maintain continuous enrollment may follow the eligibility reinstatement appeal process outlined at the Wyoming Community College Commission’s website.
Signature
Today's Date
MM slash DD slash YYYY
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