Staff Form
As a benefit of 52-week employment, tuition is reduced to $0. Please complete the following form to claim the 2024-2025 LBA Staff Scholarship:
Personal Information
Name
(Required)
First
Last
Email
(Required)
Enter Email
Confirm Email
Student Information and Staff Agreement
After selecting the applicable number, please complete the necessary information for each student.
Number of Students
(Required)
Note: In the "Grade" information box, please put the grade the child is entering.
Please enter a number greater than or equal to
0
.
Full Name of Student 1
Grade of Student 1
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Full Name of Student 2
Grade of Student 2
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Full Name of Student 3
Grade of Student 3
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Full Name of Student 4
Grade of Student 4
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Full Name of Student 5
Grade of Student 5
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Full Name of Student 6
Grade of Student 6
K3
K4
K5
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Staff Member Identification
(Required)
I agree
I, the undersigned, agree that I am a 52-week LBA or LBC staff member.
Signature
(Required)
Reset signature
Signature locked. Reset to sign again