Kickstart Wyoming Application

Name

Student ID

Date of Birth

Phone Number

Email Address

Mailing Address

I am applying for a Kickstart Wyoming’s Tomorrow Scholarship for the program indicated below:

A For-Credit Certificate of Associates/Bachelors Degree (check one):

I attest to the following:

1. US Citizen or an eligible Non-Citizen who meets the definition of eligible non-citizen under federal Title IV requirements.

Yes No

2. I am a Wyoming resident and have been for a least one full calendar year prior to submitting this application.

Yes No

I have been a Wyoming resident since

3. I am at least 24 years of age by the commencement date of the semester where this scholarship is sought.

Yes No

4. I have completed the FAFSA* and I am eligible to receive federal student aid.

Yes No

*If you have not yet completed the FAFSA for the academic year for which you are applying for a Wyoming’s Tomorrow Scholarship, visit https://studentaid.gov/ to complete the FAFSA as soon as possible. CWC’s school code is 005018.

5. I am receiving, or expect to receive a Hathaway scholarship.

Yes No

6. I anticipate receiving financial assistance other than a Kickstart Wyoming’s Tomorrow Scholarship for my enrollment in my for-credit program.

Yes No

7. I have received a Kickstart Wyoming’s Tomorrow Scholarship in a previous semester.

Yes No

8. I have received a Kickstart Wyoming’s Tomorrow Scholarship from a college other than CWC.

Yes No

9. If I have received a Kickstart Wyoming’s Tomorrow Scholarship from a college other than CWC, I have requested that my official academic transcript be sent to CWC.

NA Yes No

10. If I have received a Kickstart Wyoming’s Tomorrow Scholarship in a previous semester from CWC or another college, I have maintained continuous enrollment since receiving the scholarship.

NA Yes No

11. I will receive an industry sponsorship for my intended Kickstart Wyoming’s Tomorrow Scholarship program

Yes No

12. I have previously earned a post-secondary credential (certificate or degree)

Yes No

13. I agree to register or have previously registered, for an account on the Department of Workforce Services (DWS) wyomingatwork.com system.

Yes No

14. I agree to review, or have previously reviewed, information regarding DWS training and educational assistance and services. Available here: https://dws.wyo.gov/wp-content/uploads/2023/03/WIOA-web-flyer.pdf

Yes No

15. I do not owe a refund under federal title IV student financial aid programs or a subsequently enacted federal student financial aid program, or a student financial aid program administered through the state.

Yes No

16. I am incarcerated.

Yes No

17. I am applying for this scholarship these semesters:

Spring 2025 Summer 2025

I authorize & acknowledge the following:

• I authorize Central Wyoming College to collect and share, at minimum, personally identifying information, collected through the college’s admission or grant state application, the FAFSA, or other methods, enrollment information, and all other information necessary to determine my eligibility for a student grant (including past receipt of student grants or other state financial aid receipts) with other Wyoming Community Colleges and the Wyoming Community College Commission. I declare under the penalty of perjury that the information furnished is, to the best of my knowledge and belief, true, correct, and complete.

• I acknowledge that funding for the Kickstart Wyoming’s Tomorrow Scholarship programs that span more than one year is subject to the availability of funds as provided by the Kickstart Wyoming’s Tomorrow Scholarship Endowment and is contingent on the State Treasurer transferring monies to the Kickstart Wyoming’s Tomorrow Scholarship Expenditure account

• I acknowledge that institutional awarding priority for qualified applicants shall prioritize students in the following categories, in the following order, and that I may not receive a Kickstart Wyoming’s Tomorrow Scholarship despite meeting all student eligibility criteria if I do not otherwise meet priority awarding criteria: (1) students who receive a scholarship in the immediately preceding term, (2) students with an industry sponsorship, (3) students entering a program of study determined to be a high need to economic growth or economic development opportunity area determined by the Commission, (4) students who have not previously obtained a postsecondary credential, (5) all other applicants. I further acknowledge that any scholarship awarded by CWC is provisional until certified by the Wyoming Community College Commission and certification is not guaranteed.

• I acknowledge that my requirements to maintain student eligibility to receive a Kickstart Wyoming’s Tomorrow Scholarship include (1) maintaining continuous enrollment for not less than two academic terms in each successive academic year, (2) maintaining a cumulative Grade Point Average of at least 2.0 each and completing at least two-thirds of all attempted credits each semester, (3) filing an annual scholarship application and FAFSA, and (4) having financial need as calculated annually by the Financial Aid Office. Awards are permanently discontinued once a student has received a Kickstart Wyoming’s Tomorrow Scholarship for the maximum equivalent of four full-time academic semesters or $7,200, whichever comes first. Students who forfeit eligibility for failing to maintain continuous enrollment may follow the eligibility reinstatement appeal process outlined on the Wyoming Community College Commission’s website.

Signature

Today's Date

Locations

Information For

Ready to make it happen?

Riverton

Lander

Jackson

Dubois