Texas Reskilling Support Fund Grant - North Harris

Name*

First Name

Last Name

Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Best Contact Phone Number*

Email*

What is your home campus, if you attended a Lone Star College? *

LSC-CyFair LSC-Kingwood LSC-Houston North LSC-Montgomery LSC-North Harris LSC-Tomball LSC-University Park NA

Did you attend any other Texas Schools? Please list school name.

Have you been enrolled in an accredited postsecondary institution in the previous academic (long) semester or previous six months?*

Yes No

What was your declared major at Lone Star College or other Texas School? *

Please select the option that applies to you as a result of COVID 19*

Unemployed Furloughed Reduced Hours or Lower Pay Spouse unemployed due to COVID None Apply

Would you like help with completing the FAFSA?*

Yes No