Coffey County Sheriff’s Reserve Scholarship

Please return to CoffeyCounty Sheriff’s Office by

April 20th, 2016 at 4:00pm

Eligibility: The applicant must be a graduating senior of a Coffey County, Kansas High School planning to further his or her education at an institution approved by the Coffey County Sheriff’s Reserves; including but not limited to any accredited college, university, or technical school.

Scholarship Amount: One student from each High School will be awarded a $250.00 scholarship. An additional scholarship winner will be selected to receive the Deputy Troy A. Rogers $500.00 Scholarship. Thesescholarshipsare non-renewable. Scholarships will only be awarded after proofs of admissions are verified.

Criteria For Scholarship: The Coffey County Sheriff’s Reserves will select and award scholarships based on the following information provided by the applicant.

Scholarship

Grade point Average

ACT score

Course Selection

Citizenship

Community organizations

Volunteer service

Extra-curricular activities

Leadership roles

Future Plans

Personal Goals

Education plans

Career ambitions

Coffey CountySheriff’s Reserve Scholarship

High School Graduating From: ______

Applicant Name: ______

LastFirstMiddle

Date of Birth: ______

Home Address: ______

Phone Number: ______

Parent or Guardian: ______

I understand, by submitting this application, that I am giving permission to ______High School to verify the scholastic information that I have provided including grade point average, transcript, and etc. I further understand that this information will not be disseminated. I also attest that the information I have provided in this application is true to the best of my knowledge.

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Applicant SignatureParent / Guardian Signature

1) List all extra-curricular activities that you have participated in during your high school career.

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2) List any community organizations you have been apart of.

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3) List your employment history

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4) Write a short essay explaining how you fit the criteria that has been set forth for this scholarship.

5) Enclose a copy of your transcript.