Promise Scholarship Application!

Student Information

First Name

Preferred First Name

Last Name

Personal Email (do not use school email address)

Cell Phone (xxx) xxx-xxxx

By providing your phone number, you agree to receive text messages from Lakeshore related to the college. Message and data rates may apply. Message frequency varies. Reply HELP for help and STOP to cancel.

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Street Address

City

State

Zip/Postal Code

Birthdate (mm/dd/yyyy)

High School Information

Current High School

If school is not listed, please select Unknown School.

Year of High School Graduation/Completion

Enter the year of anticipated high school graduation.

Program Information

Anticipated Start Term

Anticipated Start Year

Program of Interest