Guy Temple Scholarship Application

Guidelines | Application

Due Date: Friday, June 7, 2024

To qualify for this scholarship, a candidate must either be self-paying or their organization must meet the requirements below:

The organization paying a candidate’s tuition (Tuition Sponsor) must be a 501(c) (3) non-profit or a small business with a demonstrated need.
Annual gross revenue must be less than $2.5 million.
Applicant must be a board or staff member of the non-profit organization.
Tuition Sponsor must be located in Union, Snyder, Northumberland, or Montour counties.
Tuition Sponsor must show financial need (provide 990 tax form or equivalent).

Notification of scholarship funds received will be given over the phone by the LSV Executive Director and followed up by written letter.

Upon acceptance of the scholarship, all remaining balances must be paid within 30 days of the invoice, or the tuition sponsor must commit to a payment plan. Failure to pay within 30 days of the payment plan will result in suspension of LSV activities for the applicant. If applicant fails to fulfill all graduation requirements, the organization will forfeit the scholarship funding, and will receive an invoice requiring payment in full. The tuition sponsor will be the entity that pays the tuition fee and receive all invoices.

Applicant Information

Applicant Name

First Name

Last Name

Applicant Email

Why you should recieve the scholarship

Please provide an explanation of how this experience would positively impact you, your organization and your community. (Recommended length: one to two paragraphs.)

Applicant Affilation

How is the applicant affiliated with the sponsoring business/organization?

Tuition Sponsor Contact Information

Company/Organization Name

Sponsor Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Sponsor Email

Phone

(###)

###

####

Scholarship Amount Request

Submission

Qualifications

Check all boxes that apply

Tuition Sponsor is a 501(c) (3) nonprofit organization

Tuition Sponsor is a small business

Tuition Sponsor's annual gross revenue is less than $2.5 million

Sponsor is located in one of the following Pennsylvania counties: Union, Snyder, Northumberland, or Montour

Applicant is self-paying

Disclaimer

By checking this box, I recognize that my application is correct and complete, and I understand that submitting my application does not obligate a scholarship. I understand that all scholarships are reviewed by LSV and awarded at the LSV Board's discretion, based on need.