Lake Land College

Foundation Application - Lake Land College, Mattoon Illinois

Foundation Scholarship Application

To request a paper copy of the application, please send an email to

This entire application must be completed and returned to the Lake Land College Foundation office by 5:00 p.m. February 01, for the 2016-2017 academic year. Applications for the 2016-2017 academic year will not be accepted after this date.

Only one application needs to be submitted for consideration of all scholarships. In addition to this application, a special application is required for the LLC Faculty Association scholarships. Please contact the Foundation Office at (217) 234-5445 for information on these scholarships. Current recipients must reapply.

To receive a scholarship, students must submit an application for admission to Lake Land College and be officially enrolled for a minimum of 12 semester hours, or be classified to be full-time by program of study. Students are strongly encouraged to complete a Free Application for Federal/Student Aid (FAFSA). Contact the office of Financial Aid to apply for Federal Financial Aid.

For a listing of scholarships please refer to the Foundation’s website at or the current College Catalog.

Personal Information
First Name:
Middle Initial:
Last Name:
Cell Phone:
Date of Birth:
Marital Status:
Number of Children:
Academic Year Applying For:
Please enter the county your resident city is in. Please DO NOT put in your country.
How long have you lived at this address?
School Information
Program of Study:
High School Attended:
High School Graduation Year:
Classification at Lake Land as of next semester:
I plan to enroll in at least one class at the:
Kluthe Center - Effingham
Eastern Region Center - Marshall
Western Region Center - Pana
Paris Extension Center
What four year school do you plan to attend after completion of your degree at LLC?
High School Seniors
Only current high school seniors who are applying for a Presidential Scholarship and who are in the top 10 percent of their graduating class must complete this section.
Cumulative grade point average (After 7th semester):
ACT Score:
Class Standing (After 7th Semester):
Size of Class (After 7th Semester):
Required Criteria
Scholarships are awarded to Lake Land College students based on the following four criteria.
Please complete each with an essay of approximately 100 words each:
Detailed essays and use of proper grammar will dramatically increase your chances of receiving a scholarship through the Foundation.
1.) Describe your career aspirations and your educational plans to meet these goals:
2.) Explain how you have helped your family and/or made your community a better place to live.
3.) Describe your financial situation and how a Foundation Scholarship can help you achieve your educational goals:
4.) Describe a significant change or experience that has occurred in your life. How did you respond and what did you learn about yourself?:
To make multiple selections in the lists below, press the ctrl key on your keyboard while clicking on your selections in the lists.
I am a member or spouse/son/daughter or an employee of:
Employee's Name:

I am a member or spouse/son/daughter of a member of:

Members' Name:

I am a currently a member of a Lake Land College student club(s). Please list.

I am currently a member of the following Lake Land College Activities. Please check all that apply.
Student Ambassador
Student Activity Board
Student Government Association
The Navigator
Judging Team
TRiO Program

Church Affiliation:

I previously attended St. Michael School, Sigel, IL

I am a spouse, son/daughter, step-child, step-grandchild, grandchild of a veteran:
Yes No
If yes, please list below name of veteran, branch of service, and your relationship to the veteran.

Branch of Service:


Give a Gift
Supporting our Veterans
No Smoking