FPOA Scholarship Application

Name(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Phone(Required)

Email(Required)

Enter Email Confirm Email

Date of birth(Required)

Age

School Currently Attending(Required)

Date of Graduation(Required)

Part Two

College or Vocational School

School Name:(Required)

Status(Required)

Course of Study(Required)

Desired Occupation after Graduation(Required)

Part Three

Member Information

Member Name(Required)

First Last

Member Mailing Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Member Phone(Required)

Member Status(Required)

Relationship to Applicant(Required)

Please note, Grandchildren are not eligible unless they are a dependent of the member.

Part Four

Activities and Involvement – Unweighted GPA accounts for up to 5 points of the total score. Details provided here can earn the applicant up to 3 additional points (Maximum of 1 point per category). Because GPA scores are typically very competitive across all applicants, details provided in this section often serve as the deciding factor for final awards. Please be specific and thorough (Do not use paragraph or narrative formats).

Extra Curricular Activities: Please list your school clubs, organizations, and groups in this box.

Format: Your Role, Club Name, Years Active

Athletics: Please list your sports participation in this box.

Format: Sport, Level/Role, Years Active

Community Service: Please list your volunteer work and community service in this box. Paid activities or those with a stipend do not qualify as Community Service.

Format: Organization, Role/Project, Estimate of Total Hours or Years Active

Additional School Activities

Share any activities you’d like noted by the committee which do not fit into the categories above.