Learn & Work in Utah Application

Submit this form to apply to the Snow College Learn & Work program that provides tuition assistance for short-term education.

NOTE: Participants must be both a Utah resident and a US citizen to qualify for tuition assistance.

Personal Information

* Legal First Name

Legal Middle Name

* Legal Last Name

Marital Status

Maiden Name

Preferred First Name

* Mailing Address Line 1

Mailing Address Line 2

* City

* State

* Zip code

* Student Personal Email

* Mobile Phone Number

* Gender

* Date of Birth

Social Security Number
Federal IRS regulations require Snow College to record your correct Social Security Number (SSN). Snow College confidentially maintains a student's SSN for routine uses, such as facilitating document matching, verifying identity, and expediting enrollment and financial aid.
Disclosure of the social security number is voluntary, but failure to provide the social security number may result in delay and confusion regarding identity; delay or loss of federal and state financial aid, tax credits, student loan deferments, veterans benefits, and other benefits under law.

* Ethnicity ?

Non-Hispanic/Latino
Hispanic/Latino
Prefer not to say

* Race
Regardless of your answer to the prior question, please check one or more of the following groups in which you consider yourself to be a member.

* Have you ever served in the United States Armed Forces, National Guard, or reserves?

Yes
No