Grade) and must pursue a four-year degree or better. ... Criminal Justice. ... that the information provided is complete
GREATER CLEVELAND POLICE SCHOLARSHIP SPONSOR: The Greater Cleveland Police Scholarship Fund APPLICATION DEADLINE: First of June, Annually AMOUNT OF AWARD:
Determined by yearly benefit profits, Year 2012 (1) $10,000 Scholarships
SCHOLARSHIP DESCRIPTION: The Greater Cleveland Police Scholarship Fund sponsors annual events, such as a charity auction and a motorcycle rally, to earn monies to make an annual scholarship possible. This award will assist students pursuing their education beyond high school. This award is available to students who qualify under the listed guidelines and are from the Greater Cleveland area. This award will be based on a point system, with each student qualifying for specific points from a checklist described on the application. APPLICATION REQUIREMENTS: Each applicant must be a High School senior (12th Grade) and must pursue a four-year degree or better. Award must be used in the year awarded. Forfeited awards must be signed by both parent and applicant (Scholarship Form). SELECTION OF RECIPIENT: Applicants will complete all information on the application. The applicant receiving the most points from the criteria list on the application will be notified of scholarship award. In the event of a tie, a lottery will be completed from all the applicants receiving the same number of points, not less than one and not more than ten. SCHOLARSHIP RULES AND REGULATIONS: Scholarship must be used in year granted. Recipient must sign waiver and release in case of scholarship denial. REMITTANCE ADDRESS: The Greater Cleveland Police Scholarship Fund 864 Marcie Drive Cleveland, OH 44109
The Greater Cleveland Police Scholarship Fund STUDENT APPLICATION APPLICANT DATA NAME
Last
First
M.I.
MAILING Street ADDRESS City PHONE:
(
State )
Zip DATE OF BIRTH (MM/DD/YY):
SOCIAL SECURITY NUMBER: NAME OF PARENT: DEPARTMENT EMPLOYED BY: (If police family)
PHONE:
HIGH SCHOOL DATA
PLANNED POST-HIGH SCHOOL DATA
SCHOOL NAME:
Name of college you plan to attend in the fall.
GRADUATION DATE (MM/DD/YY):
THIS SECTION MUST BE COMPLETED AND SIGNED BY HIGH SCHOOL PRINCIPAL OR COUNSELOR. At the end of grade 11: Applicant’s Rank:
in a class of
Cumulative grade point average
Principal or Counselor Signature
students
City
State
Major or Course of Study:
/4.0 scale
Title
Phone Number for information verification
SCHOOL ACTIVITIES List all school activities in which you have participated during the last 4 years (e.g. student government, music, sports, etc.). Indicate all special awards and honors. List all leadership positions and offices held. Include the years of participation for each activity or honor. 1.
2.
3.
4.
5.
RECIPIENT CRITERIA LIST Check all of the following criteria that apply to you. This checklist is vital in the point process of scholarship award as described in the attached letter of qualifications.
Mother and/or Father are Police Officers.
3.5 GPA or Higher (4.0 scale)
3 or more brothers or sisters under 18 yrs. of age, living in the household. (Must Provide Proof with Application Submission) Ranked in the top 10% of your class.
Pursuing a degree in Criminal Justice.
Participated in student government between grades 9-12. (Please explain)
Household Income of $50,000 or lower. (Must Provide Proof with Application Submission) Brother and/or Sister are Police Officers. Name_____________________________ Department________________________
Participated in Police Explorer program or similar program (explain)?
Passed any college preparatory courses in Criminal law or other related subjects. (non-mandatory high school) (Please specify )
SELECTION OF RECIPIENTS The Greater Cleveland Police Scholarship Fund has the sole responsibility for selecting recipients.
CERTIFICATION In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. Falsification of information will result in termination of any scholarship granted. Failure to pursue four-year degree will terminate scholarship grant. Any paid funds shall be immediately refunded to The Greater Cleveland Police Scholarship Fund by check or money order by the undersigned. All scholarship monies will be paid directly to the College or University by the Scholarship Fund.
