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Scholarship Application

Section I - Personal Data

Please ensure that all three of the following sections are completed and this form is attached to the supporting documents and materials. Please submit applications by April 15th.

Date
Name
Agency
Department/Company
Address
City/State   Zip Code 
School Class/Grade
Class Ranking
Class Size
GPA (Attatch Transcript)
Telephone   Fax 

Section II - Qualifications

Please attach additional sheets as necessary to provide the following information regarding your personal qualifications for the Florida Police Chiefs Education and Research Foundation Explorer Scholarships:

  1. Major Field of Academic Study.

  2. School and community organizations in which you have been active. Please indicate those programs that you currently participate in.

  3. Leadership positions you have held in your Explorer Post, clubs, or other organizations. Please indicate any positions you currently hold.

  4. List any awards or special recognition you have received, the organization that presented them, and the year received.

  5. In a written statement of up to 1,000 words please list your reasons for seeking the scholarship. You should include information on how you feel you can contribute to the successful achievement of the goals of the scholarship, and how you believe the experience will contribute to your educational and/or career plans.

  6. Three letters of recommendation should come from (1) a school official, (2) a post or organizational leader, and (3) community or church leader. Each of these letters should attest to your candidacy for this scholarship.

  7. The name of the School or College you plan to attend?

  8. What kind of degree or certification do you plan to work toward?


Section III - Certification/Endorsements

This nomination must be signed by the applicant, approved by a parent or guardian, and endorsed by the Police Advisor and the Agency Head, who is a member in good standing.

Applicant's Certification:

I have read and understand the qualifications for the Florida Police Chiefs Education and Research Foundation Explorer Scholarship Program. I am in good health and know of no personal or physical limitation which would preclude my full participation in the Explorer Scholarship Program.I understand that any scholarship funds I may receive can only be used for tuition and books. I hereby certify the accuracy of all of the foregoing information in this application.


Name:
Date:
Telephone:
Signature:

Parent/Guardian Approval:

I approve my son/daughter's participation in the scholarship program. I have read the qualifications listed for the award and state that to the best of my knowledge, he/she meets the qualifications.


Name:
Date:
Telephone:
Signature:

Police Advisor Endorsement:

I hereby recommend the above named applicant for this scholarship award and certify they meet the personal qualifications.


Name:
Date:
Telephone:
Signature:

Agency Head Endorsement:

I am a member of good standing of the Florida Police Chiefs Association and hereby recommend the above named applicant for this scholarship award and certify they meet the personal qualifications.


Name:
Date:
Telephone:
Signature: