Skip to content
About Us
Blog
Who We Serve
Our Roots & Mission
Board of Directors
CEO Corner
Our Family
Annual Reports
Past Newsletters
Programs
Volunteer
Workforce Development & Education
WayneLinc
Scholarship Program
Youth Leadership Program
Digital Literacy Courses
Government Civility & Leadership Academy
Public Health
Healthy Living
Infant & Maternal Health
Programs for Families
Programs for Adults
Programs for Youth
ACT Drug Free Community Coalition
Substance Use Prevention
Behavioral Health
Developmental Disabilities & Autism Services
Mental Health Services
The LAHC Endowment Fund
Human Services
Resources
Events Calendar
Donate
Procurement
Careers
About Us
Blog
Who We Serve
Our Roots & Mission
Board of Directors
CEO Corner
Our Family
Annual Reports
Past Newsletters
Programs
Volunteer
Workforce Development & Education
WayneLinc
Scholarship Program
Youth Leadership Program
Digital Literacy Courses
Government Civility & Leadership Academy
Public Health
Healthy Living
Infant & Maternal Health
Programs for Families
Programs for Adults
Programs for Youth
ACT Drug Free Community Coalition
Substance Use Prevention
Behavioral Health
Developmental Disabilities & Autism Services
Mental Health Services
The LAHC Endowment Fund
Human Services
Resources
Events Calendar
Donate
Procurement
Careers
Verification Form
Home
»
Verification Form
Scholarship Recipient Information Verification Form
Please fill out all the required fields below:
Name
*
First
Last
Last 4 digits of your SS#
*
Please enter a number from
0000
to
9999
.
Academic Institution you will be attending Fall Semester 2024
*
Major:
*
Phone
*
Email
*
Enter Email
Confirm Email
