FPOA Scholarship Application 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)MonthMonth123456789101112DayDay12345678910111213141516171819202122232425262728293031YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920AgeSchool Currently Attending(Required)Date of Graduation(Required) MM slash DD slash YYYY Part TwoCollege or Vocational SchoolSchool Name:(Required)Status(Required)AcceptedApplyingAttendingCourse of Study(Required)Desired Occupation after Graduation(Required)Part ThreeMember InformationMember Name(Required) First Last Member Mailing Address(Required) Street Address City State / Province / Region ZIP / Postal Code Member Phone(Required)Member Status(Required)ActiveRetiredDeceasedRelationship to Applicant(Required)Please note, Grandchildren are not eligible unless they are a dependent of the member.Part FourActivities 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 ActivitiesShare any activities you’d like noted by the committee which do not fit into the categories above.