Texas School District Police Chiefs Association Scholarship Application Form

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1 Texas School District Police Chiefs Association The Texas School District Police Chief s Association is pleased to announce the availability of six (6) scholarships throughout the Great State of Texas. One scholarship will be awarded in each of the six (6) Regions of the Association, and are in the amount of $1,000 each. The scholarship is in the form of reimbursement for expenses incurred relevant to the pursuit of a degree in the field of criminal justice. Requisites: - Must be a child or dependent child of Law Enforcement Officer - Must show proof of enrollment for a minimum of twelve (12) hours of college credit at an accredited college, university, vocational school prior to receiving scholarship payment. - Must demonstrate scholastic ability. - Must not have been convicted of a crime. - Must be under 25 years of age. In addition to the above requirements, other considerations that the selection committee will review are the following: financial need, current participation in criminal justice activities, student leadership, and scholastic ability. A personal interview with a member or members of the selection committee may be required of the finalists and their counselors. Applications for the scholarship are attached. Please encourage all your qualified students to apply. Applications may be mailed to the address listed below. Sincerely, Mark Hopkins, Treasurer Texas School District Police Chief s Association PO Box 284 Katy, Texas, Treasurer@TexasISDChiefs.com

2 Texas School District Police Chief s Association Student s Name: High School: Student s Home Address: APPLICANT NUMBER: City: State: Zip Code: Home Telephone: Social Security #: Mother s Name: Cell or Work Telephone: Father s Name: Cell or Work Telephone: Student s Signature: Date: Counselor s Signature: Date: Counselor s Cell or Work Telephone: NOTE: This application contains a Part I and Part II. Part I is to be completed by the applicant s High School Counselor. Part II is to be completed by the applicant. Both parts are to be verified by the Counselor and returned to the Texas School District Police Chief s Association at the following address: Mark Hopkins, Treasurer Texas School District Police Chief s Association PO Box 284 Katy, Texas, Treasurer@TexasISDChiefs.com

3 Texas School District Police Chiefs Association APPLICATION FORM, PART I APPLICANT NUMBER: TO BE COMPLETED BY SCHOOL COUNSELOR 1. Test scores: ACT (Composite Score): SAT (Combined Score): 2. Grade Point Average (Must be converted to 4.0 System): 3. Academic Achievement Record (Attach) High School Transcript Senior Classes 4. Verify that you have reviewed the attached criteria for the awarding of this scholarship and that you have reviewed the information provided by the applicant. Briefly, describe why you feel this student should be considered: 5. Class Rank out of students.

4 Texas School District Police Chief s Association APPLICATION FORM, PART II -- To Be Completed by Applicant. SCHOOL COUNSELOR: I have read and verified Part II of Application Form. Counselor s Initials: APPLICANT NUMBER: 1. Financial Need: Family members living at home: Number of children: Ages of children at home: Number of children in college: Adjusted gross income (last year s tax return): under $15,000 $15,000 - $30,000 $30,000 - $50,000 $50,000 - $100,000 over $100,000 PLEASE IDENTIFY OTHER FINANCIAL CONSIDERATIONS: 2. Leadership: Please identify activities in which you have had a leadership role. Highlight areas concerning criminal justice fields.

5 APPLICANT NUMBER: 3. Extracurricular Activities: Please list organizations, clubs, athletic activities, and volunteer work involved in and number of years. 4. Honors and Awards: 5. Work Activities: List work experiences: employers, dates of employment, and number of hours worked per week: Describe work or volunteer experiences directly related to criminal justice fields:

6 APPLICANT NUMBER: 6. Identify your personal and educational goals, being specific relative to criminal justice as a career. Name the field of criminal justice you are most interested in pursuing. Relate what this scholarship could mean to you. 7. Please enclose two letters of recommendation: one must be from a teacher or counselor and one must be from a member of law enforcement. 8. List any family members currently or previously working in law enforcement. 9. Enclose a non-returnable black and white recent photo, suitable for a press release, approximately 2 ½ by 3 in size. 10. I,,, give (Applicant Signature) (date) my permission for my photograph to be released to the press.

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