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							        MONTGOMERY COUNTY ASSOCIATION OF POLICE CHIEFS, INC.
The MONTGOMERY COUNTY ASSOCIATION OF POLICE CHIEFS, INC. SCHOLARSHIP FUND has been
established at The Dayton Foundation for high school seniors attending schools represented by membership
in the Montgomery County Association of Police Chiefs, Inc.



Scholarship Criteria
Criteria for selection will include academic performance, participation in school, church and community activities,
work experience, letter of recommendation, and essay.
           Be a high school senior who attends a high school in an area represented by a member of the
             Montgomery County Association of Police Chiefs.
           Plans to major in Law Enforcement or Criminal Justice
           Have been accepted at a two- or four-year college/university
           Have a minimum 2.5 cumulative GPA on a 4.0 scale

Size and Frequency of the Scholarship
This one-time award of $750.00 may be used for tuition and related educational expenses at the undergraduate
level.

Application Process
Submit a completed application packet to The Dayton Foundation accompanied in order by the items listed
below. Please make three copies of the original packet, assembled in the same order, for the scholarship
committee. Please note you only need to submit one official transcript and the rest may be copied. Please
submit in the following order:

    1. A copy of the acceptance letter from college/university that includes your Student ID (University ID).
    2. A most recent official grade transcript including ACT and/or SAT scores. In the original packet the
       transcript must be official. The transcript may be copied for the additional packets.
    3. A recent letter of recommendation from a teacher, coach, guidance counselor, principal or employer.
    4. Please write a short essay outlining your educational and future career goals. Your essay should be
       typed, double spaced, and use a 12 point font.

Selection Process
A Scholarship Selection Committee will review all applications and may elect not to award a scholarship if, in its
judgment, a suitable candidate cannot be identified.


                 Mail completed application and three copies of the entire application packet to the
                 address below by March 2, 2012:
                 The Dayton Foundation
                 Attn: Montgomery County Association of Police Chiefs, Inc. Scholarship
                 500 Kettering Tower
                 Dayton, OH 45423




                                  DUE DATE: POSTMARKED MARCH 2, 2012
           MONTGOMERY COUNTY ASSOCIATION OF POLICE CHIEFS, INC.
                             Scholarship For High School Seniors Pursuing A Career In
                                       Law Enforcement Or Criminal Justice
Neatness, legibility and completeness of replies will have an influence on the Selection Committee's decision. If a question is
not applicable to your situation, please note 'not applicable' in that space. If you need additional space for answers, use
extra 8 1/2 by 11 sheets of paper with your name and address on the top right corner. Please type or print using black ink.
STUDENT INFORMATION
Name (First, MI, Last):                                                                                                       Male        Female
                                                                                                  Area Code-
Address:                                                                                        Home Phone:
                                                                                                  Area Code-
City:                                               State:        Zip:                           Cell Phone:
                                                                                                                Last 4 digits of
Email Address:                                                                                                  SSN# (required):
High School:

GPA:                            ACT Composite:                SAT Math:                   SAT CR:                       SAT Writing:
College Preference: (Please attach a copy of acceptance letter to this application)
1.                                                                                         University ID (if known):

2.                                                                                         University ID (if known):

Intended College Major:

ACTIVITIES/HONORS: List on a separate sheet and attach to this application.
1.      List school activities in which you have participated (such as clubs, sports, student government, honorary society or special projects).
        Include year(s) of involvement and any offices held.
2.      List volunteer community activities in which you have participated (such as church work, community centers).
3.      List any honors or awards that you have received.
WORK EXPERIENCE
List jobs (including summer employment) you have held in the past two years. Include employer, kind of work, dates of employment and
number of hours per week.
Employer:                                      Kind of work:                              Dates of employment:                Hours per week:




We hereby certify that the information set forth in this application is true to the best of our knowledge.



____________________________________                     _________________________________________                      ___________________
Applicant's Signature                                        Parent/Guardian Signature if applicant under age 18                   Date



                Complete                                                          FP entered
For
TDF             Ineligible                                                        Award/Denial Processed               To committee
Use             Missing:                                                      Contact Notes:
Only:




                                            DUE DATE: POSTMARKED MARCH 2, 2012

						
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