Instructions To The Applicant

The information you provide in this application will be used in determining your suitability for a

NCPOSF scholarship. Please fill out the questionnaire completely and accurately.

Be advised that:

1. The completion of this form is mandatory in accordance with established procedures of the NCPOA.

2. All statements are subject to verification.

3. Deliberate inaccuracies or incomplete information may result in your being deemed disqualified for a NCPOA scholarship.

4. You may electronically attach your resume at the end of this document. Do not bring a resume to your oral board interview.

5. Scholarships will be awarded at the March 15, 2018monthly luncheon.

PLEASE EMAIL COMPLETED

APPLICATIONS TO

Save and submit your application name this way:

firstname.lastname.doc

Applications

Must Be Electronically Received

By 5:00P.M.onOctober 27, 2017

The NCPOA was founded in 1934 and is comprised of over 500 active and retired law enforcement members. The NCPOA is dedicated to improving communication within the criminal justice system and contributes to worthy law enforcement activities in our community.

In order to enhance recruitment of well-qualified candidates into the law enforcement profession, the NCPOA provides scholarships on a regular basis to selected California State University Sacramento Criminal Justice students.

NORTHERN CALIFORNIA PEACE OFFICERS SCHOLARSHIP FOUNDATION

This is the official scholarship foundation application form of the Northern California Peace Officers Association (NCPOA). To make application for a NCPOA scholarship complete this form in its entirety. This application form shall be the cover page and all attachments shall follow. All material attached to this form becomes the property of NCPOA and shall not be returned to applicants. Applications shall be printed in ink or typewritten. NCPOA Scholarship eligibility is limited to California State University Sacramento (CSUS) Criminal Justice majors in their Junior or Senior year of studies (60 completed college units); carrying a minimum of 9 units in the current semester;in good scholastic standing(no academic probation), having a College GPA of 2.5 or higher. Information provided in this application will be used by the NCPOASF to determine scholarship awards. All statements on this application are subject to verification. Deliberate inaccuracies or incomplete statements may disqualify applicants.

Personal

The following information is requested of you for identification, verification and contact purposes:

Your Name: / Last / First / Middle
Birth Date: / (m) / (D) / (Y) / Email Address:
Address: (include apartment numbers and zip code)
Local telephone numbers: (Home)
Hours you can be contacted: / Local telephone numbers: (Cell)
Hours you can be contacted: / Local telephone numbers: (Other)
Hours you can be contacted:

College Status

Class Level: JUNIOR SENIOR / Completed College Units: / Current semester Units: / CSUS GPA: / Overall College GPA:
10. MAJOR: / CRIMINAL JUSTICE
11. MINOR:

Employment

12. PRESENT EMPLOYER / 12. PRESENT EMPLOYER
13. ADDRESS OF EMPLOYER / 13. ADDRESS OF EMPLOYER
14. YOUR POSITION (working title) / 14. YOUR POSITION (working title)
15. DATE EMPLOYED: / 16. HOURS PER WEEK; / 15. DATE EMPLOYED: / 16. HOURS PER WEEK:
17. EARNINGS PER MONTH: / VOLUNTEER: YES
NO / 17. EARNINGS PER MONTH: / VOLUNTEER: YES
NO

I hereby certify that all information herein is true and complete. I understand that any misstatements may result in my disqualification for a Northern California Peace Officers Scholarship Foundation.

SIGNATURE: / DATE

Tell us about yourself, include something about your hometown, high school, prior college experience, etc.… (use as much room as you need):

Please list your educational goals (use as much room as you need):

Please list your career goals (use as much room as you need):

Please list community activities, community service, association memberships, volunteerism, personal achievements, and special interests (use as much room as you need):

Please list pertinent work experience (use as much room as you need):

Tell us why you should be awarded a scholarship from the NCPOA (use as much room as you need):