LLAC Forms

Scholarship Redemption

Scholarship Redemption Form

CONGRATULATIONS on receiving the Lifelong Learning Administration Corporation Annual Scholarship.

  • 2021-2022 scholarships may be redeemed until June 30, 2023.
  • 2022-2023 scholarships may be redeemed until June 30, 2024.
LLAC scholarships will be made payable to the accredited post-secondary institution of your choice. To redeem your scholarship, you must provide all requested information below and upload your CURRENT verification of enrollment.

PLEASE NOTE: Class schedules, admission records and/or contract from the college are NOT acceptable for “Verification of Enrollment”. Once you complete and submit this Scholarship Redemption form you will receive a copy for your records. We will also email you with next steps. We are honored to support you in your endeavor to further your education.

For questions or help with this redemption please email: [email protected]

Name(Required)
Address(Required)

Please upload your CURRENT student “Verification of Enrollment” from your college.

PLEASE NOTE: Class schedules, admission records and/or contract from the college are NOT acceptable for “Verification of Enrollment”

Max. file size: 10 MB.

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