Central Lakes College (CLC) Scholarship Counselor Verification

First Name *

Last Name *

Email *

Student Name *

Enter the name of the student whose scholarship application you are verifying.

Student Class Rank *

Additional Information

If you cannot verify the student education history, or have concerns about the information submitted, please enter any details or feedback here.

Counselor or School Administrator Verification *

I have reviewed the student application certify that the submitted educational history for this student is true and correct to the best of my knowledge.

Enter required value Yes No