Lansing Promise Scholarship Application

Thank you for your interest in the Lansing Promise Scholarship. Here are a few reminders as you begin the application process:

You have within one year of high school graduation to apply for the Lansing Promise Scholarship.

Deadline to apply:
May 17th for fall semester consideration or November 1st for spring semester consideration.

Lansing Promise Scholarship eligibility requirements:
1) Live within the Lansing School District boundaries 9th-12th grade years
2) Attend 9th-12th grades and graduate from a public, private, or home, or virtual school located with the Lansing School District Boundaries
3) Have a GED with eight consecutive years in Lansing School District and be under the age of 20

If awarded the Lansing Promise Scholarship, you will be required to complete the FAFSA application and verification process in order to receive scholarship funding.

If awarded the Lansing Promise Scholarship, you will need to be accepted at and plan to attend either Lansing Community College, Michigan State, Davenport University, Douglas J Aveda Institute, or The University of Olivet in order to receive scholarship funding.

Please send questions to info@lansingpromise.org

Information about You

First Name

Middle Name

Last Name

Birthdate

Street

City

State/Province

Zip/Postal Code

Phone Number

Check if you would not like to receive texts from the Lansing Promise

I am opting out of receiving texts

Email (You must use an email address that you will continue to check after high school graduation)

Parent or Guardian Name (ONLY if you are under 18)

Parent or Guardian Phone Number (ONLY if you are under 18)

High School Information

Which high school will you or did you graduate from?

College Information

The Lansing Promise Scholarship can be used at Lansing Community College, Douglas J. Aveda Institute, Michigan State University, Davenport University, or The University of Olivet.

Which college are you interested in attending?

Which year do you plan to start college?

20242025

Which semester do you plan to start college?

FallSpringSummer (Option not available summer after high school graduation)

FAFSA Requirement

I understand that if I am awarded the Lansing Promise Scholarship I am required to complete the FAFSA application and verification process by March 1st in order to receive Lansing Promise Scholarship funding.

Yes

I understand that the Lansing Promise Scholarship is a last dollar scholarship. The purpose of a last dollar scholarship is to pay for eligible tuition and fees (excluding course fees at LCC) that are not covered by other state and federal scholarships or grants that I am awarded through the FAFSA process.

Yes

Authorization of Release of Educational Information to Lansing Promise

I hereby authorize any school that I am enrolled in that participates in the Lansing Promise Scholarship, through its agents and employees, to release any of my financial aid, attendance, demographic and/or academic record information, in whole or in part, to the Lansing Promise Director, or his/her designee, to facilitate the analysis of my scholarship eligibility and the subsequent educational and economic impact of this scholarship.

As a recipient of a Lansing Promise scholarship, that award information becomes part of my educational record. By consenting to receive any scholarship amount awarded to me, I agree to allow the release of this information in my educational record to third parties specified under the Family Educational Rights and Privacy Act (FERPA). FERPA affords certain rights to students concerning the privacy of, and access to, their education records. While this form authorizes my school, in conjunction with the Lansing Promise, to release educational records to third parties, it does not obligate either entity to do so. My school reserves the right to review and respond to requests for release of my educational record on a case-by-case basis. For additional information, I can visit the U.S. Department of Education’s website at: www.ed.gov/policy/gen/guid/fpco/ferpa/index.html.

The Lansing Promise Scholarship can have several positive impacts on postsecondary enrollment, persistence, degree attainment and overall success in college. To understand these impacts, I authorize my postsecondary academic record information, in whole or in part, to be released back to the Lansing Promise Director, or his/her designee, in adherence to FERPA for analysis to inform and improve the Lansing Promise Scholarship program.

I also authorize the Lansing Promise to use information regarding my scholarship in promotion of the Lansing Promise Scholarship.

This release is authorized starting on the date of the signature on this agreement and after scholarship receipt for statistical purposes. To rescind this Authorization, I understand that I must submit written notification of rescission to my school. I will also notify the Lansing Promise in writing of my decision to rescind my authorization. This rescission would result in the termination of my receipt of the scholarship.

My electronic signature (or that of my parent/guardian if I am under the age of 18) below indicates that I have read this Authorization to Release Educational Records form and that I authorize the release of educational records as described above.

I certify that all information submitted in this application is accurate and true

Yes

Electronic Signature (If an applicant is under the age of 18, please enter parent or guardian's name).

Electronic Signature via Date Stamp

Thank you for your application!