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  • Nciai Scholarship Application

    Загружено:

    semcguirk
    36 просмотров5 страниц
    This document is a scholarship application form that must be completed and submitted by October 31, 2012. It requests basic applicant information like name, address, phone number, educational details, GPA, expected graduation date, and membership status in the NCIAI. It indicates that to apply, the applicant must complete this form and mail it to the Waynesville Police Department along with an essay, two letters of recommendation, and official transcripts in sealed envelopes, all due by January 31, 2014. The applicant must certify that the information provided is accurate.

    Исходное описание:

    NCIAI SCHOLARSHIP APPLICATION

    Оригинальное название

    nciai scholarship application.doc

    Авторское право

    © Attribution Non-Commercial (BY-NC)

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    This document is a scholarship application form that must be completed and submitted by October 31, 2012. It requests basic applicant information like name, address, phone number, educational details, GPA, expected graduation date, and membership status in the NCIAI. It indicates that to apply, the applicant must complete this form and mail it to the Waynesville Police Department along with an essay, two letters of recommendation, and official transcripts in sealed envelopes, all due by January 31, 2014. The applicant must certify that the information provided is accurate.

    Авторское право:

    Attribution Non-Commercial (BY-NC)
    Скачайте в формате DOC, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    36 просмотров5 страниц

    Nciai Scholarship Application

    Загружено:

    semcguirk
    This document is a scholarship application form that must be completed and submitted by October 31, 2012. It requests basic applicant information like name, address, phone number, educational details, GPA, expected graduation date, and membership status in the NCIAI. It indicates that to apply, the applicant must complete this form and mail it to the Waynesville Police Department along with an essay, two letters of recommendation, and official transcripts in sealed envelopes, all due by January 31, 2014. The applicant must certify that the information provided is accurate.

    Авторское право:

    Attribution Non-Commercial (BY-NC)
    Скачайте в формате DOC, PDF, TXT или читайте онлайн в Scribd
    Отметить как неприемлемый контент
    из 5

    SCHOLARSHIP APPLICATION FORM

    ALL REQUIRED MATERIALS MUST BE RECEIVED BY OCTOBER 31, 2012.


    ALL APPLICATIONS MUST BE EITHER TYPEWRITTEN OR PRINTED IN
    INK.
    Please read the guidelines attached with this form. To apply for the scholarship,
    complete this application form and mail to:
    Attn: Det. Tamara J. Vander Day
    Waynesville Police Department
    9 S. Main St.
    Waynesville, NC 28786
    Full name (include any maiden or other names by which you have been known):
    _______________________________________________________________________
    Date of birth: ____________________________________________________________
    Home or permanent address:
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    ______
    Home phone number: _____________________________________________________
    Cell phone number: _______________________________________________________
    Email address: ___________________________________________________________
    Name and address of college or university:
    _______________________________________________________________________
    Page 1 of 5

    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    ____
    Which academic degree are you presently pursuing? Associates_______ Bachelors
    _______ Masters_______ Doctorate_______
    Cumulative G.P.A.
    _______________________________________________________________________
    _
    Expected date of graduation:
    _______________________________________________________________________
    _
    Have you ever been convicted of a crime? (CHECK ONE)
    Yes_________ No__________
    If yes, explain on a separate sheet of paper.
    List all postsecondary institutions attended with highest class standing attained and
    cumulative G.P.A. (attach list if necessary):
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    ___________________________________________________________________________________
    Educational and/or Professional awards and honors received (attach list if necessary):
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    Page 2 of 5

    _______________________________________________________________________
    _______________________________________________________________________
    ___________________________________________________________________________________

    Community service and/or volunteer service (attach list if necessary):


    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    ___________
    Extracurricular Activities (attach list if necessary):
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________
    ___________
    Are you a current member of the NCIAI in good standing?
    _______________________________________________________________________
    _
    Are you a dependent child of a current NCIAI member in good standing? List the name,
    address, and phone number of member.
    _______________________________________________________________________
    _______________________________________________________________________
    _______________________________________________________________________

    Page 3 of 5

    _______________________________________________________________________
    ____
    How long have you or your parent/guardian been a member?
    _______________________________________________________________________
    _______________________________________________________________________
    __

    Attach the following documents or arrange to have them sent to Det. Tamara J. Vander
    Day. These items must be received on or before January 31, 2014:
    1. Completed Application
    2. Essay
    3. Both Letters of Recommendation
    4. Official transcripts (in sealed envelopes) from all postsecondary institutions
    attended

    I CERTIFY THAT I HAVE READ AND UNDERSTAND THE GUIDELINES AS


    SPECIFIED ON THE ATTACHMENT TO THIS FORM. I FURTHER CERTIFY
    THAT THE INFORMATION GIVEN ON MY APPLICATION IS ACCURATE TO
    THE BEST OF MY KNOWLEDGE.
    __________________________________________
    (Signature)

    Page 4 of 5

    ________________________
    (Date)

    Page 5 of 5

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