Signal 30 Troopers Benefit Fund, Inc. Scholarship Program
2023 Application
Please have your college acceptance letter and 250 word essay ready for upload before you begin this form. Please put your name on your essay.
This application will need to be completed in its entirety to be submitted. You are not able to save this form and continue later. This form cannot be submitted without completing all required fields.
Applicant Information
First Name:
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Last Name
*
E-mail
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Do you live in Steuben County?
*
Yes
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NYS Trooper Information
Name
*
First Name
Last Name
Relation to Applicant
*
Parent
Step Parent
Legal Guardian
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Troop
*
Rank
*
Academic Information
Name of Institution Attending 2023-2024 School Year
*
Address of Institution
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Upload College Acceptance Letter
*
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Expected Degree
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Associate's
Bachelor's
Master's
Doctorate
Expected Date of Graduation
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Expected Field of Study
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Cumulative GPA
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High School GPA if Freshman
Upload Transcripts
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Essay
The five core values of the New York State Police are: Safety, Integrity, Leadership, Service and Continuous improvement and learning. How do you seek to personify these actions in your own life?
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250 words or more, Word Document Only
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