Leadership Portage County (LPC)
Class of 2022-23 Scholarship App

Scholarship Information
Partial scholarship assistance may be available for qualified applicants. When granted, scholarships will not cover the entire tuition fee. The maximum scholarship amount is $550. Applicants should secure additional funding through personal finances, an employer or outside sponsors. This application must be submitted along with a completed LPC Application.

Criteria

Applicant must currently live or work in Portage County.
Only one scholarship will be awarded per employer per year.
Scholarships are limited to funds available for the budget year through donations.
Scholarship awards may be available for up to $550.
Scholarships will be determined based on demonstrated financial need.

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* Contact Information

Applicant's Name *

Email Address

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* Describe your Employer

Private Business

Public Institution

Non-profit Organization

Self-employed

Retired

Unemployed

Other (please specify)

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* Is your employer covering any portion of your tuition fee?

Yes

No

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* Please quote or describe your employer's professional development/training policy.

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* Are you receiving any sponsorship outside of your employer?

Yes

No

If yes, please describe, and include sponsorship amount.

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* Are you personally paying any portion of the tuition?

Yes

No

If yes, please indicate your gross annual income.

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* Please indicate the amount of scholarship being requested ($1 to $550):

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* Is your participation in the program incumbent upon receiving scholarship funds?

Yes

No

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* Please provide any additional information you feel is necessary for us to process your scholarship request.

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* I understand and have answered these questions to the best of my knowledge and agree to be bound by them in signing this application.

Yes