Online Scholarship Application Form

Name *

Email *

Address *

Phone *

Date of Birth *

High School *

Is your parent/guardian a member of Fraternal Order of Police Lodge 57?

If yes, list your school, parent/guardian's name(s) and their department.

Current GPA *

Current Class Rank *

Guidance Counselor *

Expected Graduation Date *

List all school activities you have participated in during the past 4 years. *

What is your intended Major / Course or Trade of Study *

List of Post-Secondary Institution(s) you plan on attending after graduation. *

Please, briefly, tell us about yourself and explain in detail why you want to pursue a career in public service. *

Thank you for your submission. Our team will review your application.

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