FLC Equity Scholarship Nomination Form

Only nominate high school seniors or transfer students who have applied to attend FLC within the next year.

Student's Information

Student's first name

Student's last name

Student's email

Student's birthdate

Student's current school

Hidden: CEEB Code

Your first name

Your last name

Your phone number

Your email

What term will the student be starting at Fort Lewis College?

Has this student submitted a Fort Lewis College Application for Admission yet?

What is your relationship to the student you are nominating?

Does this student self-identify as belonging to an underrepresented and underserved community? Please explain.

Why do you think this student should receive this scholarship?