Financial Assistance Application

Financial Assistance Application

Thank you for your interest in LMU Extension. Pleased take a moment to tell us more about yourself and your employment goals. Your responses will assist us in identifying suitable tuition assistance programs.

Last Name*

First Name*

Phone Number*

Phone

Email*

City of Residence*

This information may be used to identify tuition assistance programs and other available resources in your local area.

Employment Status*

Unemployed

Part-time

Full-time

Program of Interest*

Please check all that apply*

Veteran

Low-Income Adult

Receiving Public Assistance

Laid off-receiving UI Benefits

Laid off- recently exhausted UI Benefits

Currently on Probation/Parole

Formerly Incarcerated

Unhoused

In a few words, please tell us a little about yourself and how this program will support your employment goals.*

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