Scholarship Assistance Program

Applicant Information

Fill in this application on your computer, print it out and mail it to the address below.
First Name:
MI: Last:
Address:
City:
 State: Zip:
Phone:
D.O.B: SSN:
High School :
Phone:
Address:
City:
 State: Zip:
College You wish to attend:
Briefly explain the college training you want to receive:
List school and community activities in which you have participated:
List Hobbies or special interests:
Sponsor Information
FOP Sponsors First Name:
Last:
Sponsor Address:
Phone:
Lodge No.:
Relationship to Applicant:
Nominating Statement
Signature of Sponsor:
__________________________ Date: __/__/____
Family Information
Father's First Name:
Last:
Address:
 Phone:
City:
 State: Zip:
Annual Income:
$
Mothers First Name:
Last:
Address:
City:
 State: Zip:
Annual Income:
$
All other Incomes:
$ Other Scholarship(s): $
Attach the following:
 
 
  • In 200 words or less, tell us about your chosen Major, and what your career goals are.
  • Letter of recommendation from someone other than your sponsor or parent.
  • Transcripts of grades from your freshman year of High School through the first semester of your senior year.
  • Written notification from the Lodge President that your sponsor is a current member of FOP in good standing.
  • Your resume.
 
Applications must be postmarked / received no later than midnight June1st. to be eligible for Fall Scholarship's and will only be accepted if complete using this form.
 
Scholarships will be awarded on or before August 15th.
 
Mail to: Scholarship Committee Chairperson
2527 W. Kennewick Ave. #207
Kennewick, WA. 9937
Applicant Signature:
____________________ Date: __/__/____
Committee Chairman (print):
____________________ Signature: ______________________
Committee Member:
____________________ Signature:_______________________
Committee Member:
____________________ Signature:_______________________
Committee Member:
 ____________________ Signature:_______________________