Awarded to full-time college student s who have an interest in a career in law enforcement and in need of financial assistance with their educational goals.
January 3, 2015
Please submit this completed application in typewritten form, or printed in black ink by the above deadline date. The information furnished by the applicant is considered confidential, and will be reviewed by the Northern California Asian
Peace Officers' Association (hereinafter referred to as NCAPOA) Scholarship
Committee for truthfulness, accuracy, and completeness. All materials submitted by the applicant shall be used for the sole purpose for consideration of this scholarship award.
The applicant must sign this application and return it with a certified copy of transcripts or report card/progress report.
A printout of your online transcript will be accepted with your application if a certified copy is not yet available. Please obtain a certified copy to bring with you by the date of the interview. (Signature not required for emailed applications, but will assume that the waiver is accepted and a signature will be requested at the time of interview.)
Any misrepresentation of facts and/or information will result in immediate disqualification of the candidate for scholarship consideration.
SUBMIT YOUR APPLICATION BY MAIL OR EMAIL:
Please mail your application to:
NCAPOA 2014 Scholarship
P.O. Box 262
Benicia, CA 94510 or E-MAIL: ncapoa1974@gmail.com
Questions: ncapoa1974@gmail.com

SCHOLARSHIP APPLICATION
APPLICANT INFORMATION
Name:
Date of birth:
E-Mail:
Current address:
City:
Father's Name:
Mother's Name:
Total number in the family:
Phone:
State:
Father's Occupation:
Mother's Occupation:
How many are in college:
ZIP Code:
EMPLOYMENT INFORMATION (IF YOU ARE EMPLOYED)
Current employer:
Employer address: phone/email of employer/supervisor:
How long employed?
Position: Hourly Salary:
May we contact your employer?
ACADEMIC PROFILE
High School Attended:
High School Address:
City:
High School GPA:
State:
College/University Name:
College/University Name Address:
City:
Current GPA:
State:
Major:
ZIP Code:
ZIP Code:
Credits Earned:
IF YOU ARE NOT IN COLLEGE, WHICH INSTITUTION(S) HAVE YOU APPLIED TO:
(1) College/University Name:
Intended Major:
(2) College/University Name:
Intended Major:
(3) College/University Name:
Intended Major:
Application Submitted (Date):
Application Submitted (Date):
Name
Personal 1)
Personal 2)
Professional 3)
Professional 4)
Application Submitted (Date):
REFERENCES
Relationship Phone

The NCAPOA Scholarship Committee renders equal consideration to each applicant's academic merit, community service, and financial need. It is important the applicant submit a candid and honest financial appraisal of his/her college costs. The information provided herein shall be held confidential. Failure to submit this information will postpone processing of your application until the information is received. If this delay causes the application deadline to pass, your application WILL be void and ineligible for consideration.
Tuition Fees: $
Transportation: $
Room/Board: $
Books/Supplies: $
Other Expenses: $
Total Expense: $
Please submit your autobiography, at least 500 words. This account should reflect your personality, aspirations, and any additional information you deem relevant to the scholarship committee, including school/community activities you have participated in that made a significant impact in your life.
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(No word limit, use as much space as needed.)
3)
2)
What are your reasons for selecting your college major?
Please list three (3) reasons why you should be the recipient of this scholarship:
1)
What is your intended occupation/career goal?
Briefly describe all school/community activities you have participated in within the past two (2) years:
From a student's perspective, what are two critical issues facing law enforcement
2) officers today and how can they be addressed?
1)

I certify that the information submitted in this scholarship application is true and correct.
I understand that the NCAPOA Scholarship Committee may interview me at a designated time and place as part of their selection process.
In consideration for this scholarship award, I understand that I must provide official academic records including grade reports, transcripts, and attendance/admission records to the NCAPOA Scholarship Committee. The documentation will be included with this scholarship application. I understand that this information will be used for verification purposes only. I also understand that any incomplete areas in this application may delay the processing of my scholarship request.
If this delay goes past the deadline date of January 3, 2015, I understand that the
NCAPOA Scholarship Committee may consider my application as null and void.
Any misrepresentation of facts, untruthfulness, incompleteness of information, and/or intent to deceive SHALL disqualify this application without appeal. I am fully aware that the NCAPOA Scholarship Committee's decision is final and not subject to appeal.
SIGNATURE
Signature: Date:
SUBMIT YOUR APPLICATION BY MAIL OR E-MAIL:
Please mail your application to:
NCAPOA 2015 Scholarship
P.O. Box 262
Benicia, CA 94510 or E-MAIL: ncapoa1974@gmail.com