Orange County Sheriff's Posse

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1 Due to counselor March 26, 2018 Orange County Sheriff's Posse Scholarship Program Application Thank you for your interest and application to be considered for our scholarship. Investments in your future are important to the Orange County Sheriff's Posse Organization. We wish you all the success in reaching your goals. Applicant Information Name: ~ Address: City: State: Texas Zip: Home Phone: ( ) - Cell Phone: ( ) Address: High School Attending: Counselor's Name: Contact Phone #: ( ) - Parent or Guardian Information Mother/Guardian Name.:...: Employer: Phone #: ( ) Father/Guardian: Employer: Phone #: ( ) Signature of Applicant: Signature of Parent or Guardian:

2 Date: ~/ --J/ Scholarship Requirements and Comments 1. Applicant must be a graduating student from a high school in Orange County, with residence of at least 2 preceding years in Orange County. 2. Student must have maintained a "C" or better average throughout their high school career. 3. Student must be a United States Citizen. 4. Attachments can be included for any explanations. Please make a note that an attachment is included. 5. Any incomplete applications submitted will not be considered or returned for correction. It is the responsibility of the applicant and Parent/Guardian to ensure all information is correct and complete prior to submitting. Absolutely no follow up or updates will be allowed once submitted. 6. No late applications will be accepted. 7. This application, along with any attachments, must be returned to your school counselor for pickup. Applicant Demographics Total number of persons living in household? How many are children: birth through 11th grade? How many, including you, will be attending college or technical school next fall? Are you currently employed during your senior year? YES NO If so, where are you employed? Averaged hours worked per week? Do you plan on working during college? Combined household income: { } Under $50,000 {} $50,000 to 75,000 { } $75,000 + Will you receive financial assistance other than scholarships to further (i.e. Grants, student loans, etc.) YES NO your education? If YES,please list

3 Applicant Awards and Activities Please list any academic awards, competition throughout your high school years. honors, and lor scholarships you have received Year(s) Awards/Honors/Scholarships Office/Honor/ or Recognition Please list any school sponsored extra-curricular have held or participated in. activities and any positions of leadership you Year(s) Activity Position of Leadership Please list any community service or volunteer opportunities with your church or civic organizations you have participated in. Year(s) Organizations Activity What institution do you plan on attending? What is your planned field of study? Please include a statement indicating your educational objectives; how this will prepare you for your future goals in your field of study, and your reasoning for this plan. (essay can be attached)

4 *************To Be Completed by School Counselor/Registrar *********** ************** After Application Has Been Completed**************** Attending High School: Applicants Grade Point Average: Current Class Ranking: out of Projected Graduation Date: Did this student take any Co-enrolled courses? College credits earned while in high school? Attended this high school for the past 2 years? YES NO Is the student a United States citizen? YES NO Is this student in good standing? YES NO Counselor/ Registrar Name Printed: Signature: Date: -J

5 Attn: High School counselors The Orange County Sheriffs Posse plans to award a limited number of scholarships to graduating Orange County seniors this year. We request your assistance in distributing collecting these applications. and This application, along with any and all attachments, should be turned into your office when completed. Please fill out the portion of the form pertaining to the counselor / registrar. Feel free to duplicate this application for additional copies as needed. Please hold these completed applications until after the closing date and someone from the Orange County Sheriff's Posse will contact you about picking them up. Thank you for your cooperation and support. Closing Date: Wednesday, March 28, 2018 Pickup Date: March 29, 2018 Thank you, Scholarship Committee Orange County Sheriff's Posse PO Box 1082 Orange, TX OCSP@gt.rr.com

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