Scholarship Application

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We are now accepting applications for an Out To Protect Scholarship to be awarded in June 2012. To be eligible for consideration, you must demonstrate how you meet the scholarship criteria. This includes submitting a complete application by 5:00PM on May 4, 2012. The amount of the scholarship will be between $500 and $1000.

The scholarship application has two parts and both must be completed in full to be considered for an award. All applicants must complete Part 1 – Applicant Information using this form. Part 2 – Demonstration and Verification may be completed using this form or by submitting an essay.  If you choose to write an essay, be sure to answer each of the questions in Part 2 completely with as much detail as possible.  Your essay must be typed using a 12-pitch font, double-spaced, with one inch margins all the way around.  Essays may only be uploaded in PDF form using the upload field at the bottom of the application form.

Applicants are strongly encouraged to submit letters of recommendation at the time of application from fellow students and academy staff.  Letters should be submitted on academy letterhead and speak specifically to the scholarship criteria.  Simply scan the letter(s), save them in PDF form, and submit them using the upload field at the bottom of the application form.

Scholarship Requirements:

  • Identify as gay, lesbian, bi-sexual, transgender, or straight ally and be “out” to your family, friends, and peers at the academy or law enforcement agency.
  • Be a recognized role model by your peers and supervisors.
  • Demonstrate use of the Law Enforcement Code of Ethics as a guide for decision making.
  • Demonstrate being able to graduate from your law enforcement training program.

scholarshipapp Scholarship Application

Part 1 - Applicant Information

1. What is your name? (Enter first and last name)

2. What is your current age?

3. What is your email address? (Provide the email address you check frequently)

4. List your facebook, myspace, or other social networking site URLs? (Enter "none" if you have no social networking sites)

5. What is the best phone number to reach you?

6. What is your complete mailing address?

7. What is the name of the Law Enforcement Academy you attend?

8. What is your expected graduation date from the law enforcement academy you are attending?

9. Which of the following best describes the type of training program are you enrolled in?

10. Which of the following most accurately describes how you identify your sexual orientation?

11. Are you "out" to family, friends, and your peers at the academy?

12. How long have you been "out?"

13. If you are selected to received a scholarship, may we post your picture on our website?

14. Are you in any way related to a member of the board of directors for Out To Protect? (If yes, explain in box 15)

15. What else would you like us to know about you related to Part 1 of this application?

Part 2 - Demonstration and Verification

You can complete this part of the application by filling in the text boxes or you can write an essay. If you going to submit an essay, simply review the questions in Part 2 and be sure to answer each with as much detail as possible. Remember, you must demonstrate that you have met the scholarship criteria. Be sure to provide the reference information described in block 21 below. To submit your essay, go to the bottom of this form and upload it. We accept PDF documents only.

17. Describe how you have been recognized as a role model by your peers and supervisors as a gay, lesbian, bi-sexual, transgender person, or straight ally working in law enforcement? Provide as many examples as you wish.

18. What does the Law Enforcement Code of Ethics mean to you and how have you used it as a guide for decision making? Provide as many examples as you wish.

19. Describe your achievements in the law enforcement training program including your current GPA and class standing or ranking. What have you discovered are your strengths and weaknesses? Provide evidence that you will graduate from the program.

20. After graduation, how do you plan to continue being an effective role model as a gay, lesbian, bi-sexual, or transgender person working in law enforcement? Describe strategies you envision using on the job.

21. Provide the name, telephone number, and email address for at least two members of the academy staff and two of your peers in class who can verify the information you submitted in this application. Be sure to identify their rank and position. (Please inform each person you list about this scholarship and that we may be contacting them)

Upload your essay and letters of recommendation in PDF format here.

Be sure to review all of your answers before submitting this application. You can print a copy of your application before you submit it for your records using the button provided in the lower right corner of this page.

Attestation

By checking this box, I attest that the information I am in this application is true, correct, and complete. The persons listed as references have given their consent to be called upon to discuss my qualifications for this scholarship and they are aware of the scholarship criteria. I understand that this attestation serves as my signature.

529691838 Scholarship Application
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