NCDSA SCHOLARSHIP AWARD
Eligibility Requirements:
* Each applicant is eligible for (1)$500.00 scholarship as a part-time student or (1)$1,000 for full-time students each calendar year.
* The applicants can be seeking a degree in any field.
* Applicants may be full-time or part-time students.
* Applicants may apply for the scholarship in each year that they attend college level courses. Receipt of this scholarship in one year does not disqualify the recipient in future years. Please submit a scholarship application for each year you are requesting it for.
* Please print out the form below and print or electronically fill in the corresponding responses.* ALL *ENTRIES MUST BE POSTMARKED NO LATER THAN May 31, 2021
Applicant Information
Name: _________________________________________________________________
Address: _______________________________________________________________
City, State, Zip: __________________________________________________________
Telephone: ______________________________
School Name: ___________________________________________________________
Current Grade Point Average (transcript required):______________________________________
Extra-Curricular activities - Please include information on any activities you regularly participate in. This may include; employment, sports, hobbies, clubs, volunteer work, etc. Also include any awards you have received with dates and name of the award received.
Please explain why you are pursuing a career in your chosen field. Include information on the specific field you are currently exploring, and what you hope to achieve in your career. (If you prefer, you may type your answer on a separate sheet of paper.)
How do you plan to further your development in your chosen career? Include the college you plan on attending, the course of study you intend to pursue, and any other activities or training programs you are currently considering. (If you prefer, you may type your answer on a separate sheet of paper.)
List any outstanding characteristics or attributes that you possess that you believe make you a good candidate for this scholarship.
List three (3) character references (not relatives):
Name: __________________________________
Street: __________________________________
City, State, Zip: ___________________________
Telephone: ______________________________
Name: __________________________________
Street: __________________________________
City, State, Zip: ___________________________
Telephone: ______________________________
Name: __________________________________
Street: __________________________________
City, State, Zip: ___________________________
Telephone: ______________________________
When filling out your application form, please ensure that all questions have been answered. An incomplete application may result in disqualification. Identify all attachments.
ALL STATEMENTS ARE SUBJECT TO VERIFICATION
I affirm that the statements made on this application, including any attached notes and transcripts are true. I also authorize any designee of the Niagara County Deputy Sheriff’s Association to conduct an investigation to verify any information included in this application.
Signature of Applicant
Date
Signature of Parent or Legal Guardian
Date
Return Application to:
Niagara County Deputy Sheriff’s Association
NCDSA SCHOLARSHIP AWARD
5526 Niagara Street Ext.
Lockport, NY 14094
Attn. NCDSA
