I, First Name*   Last Name*   as parent or legal guardian of the applicant   First Name   Last Name   named herein, approve of my dependent son or daughter's application for a FSA STEM College Scholarship. In consideration of the benefits derived from this award, I agree that if my child should be awarded a scholarship, I hereby voluntarily waive any claim against the Florida Sheriffs Association, its officers, members, or directors, or any of its subsidiaries, for any and all causes that may arise as a result of being awarded this scholarship.

I CERTIFY that I am a full-time (civilian or sworn), paid employee of the sheriff’s office in blank* county, holding the position of    *  .

FURTHER, I CERTIFY that my son or daughter plans to attend a regionally accredited community college, college, or university, in the fall of this year, and that, thereafter, (s)he plans to pursue a career in a STEM related field.

Signature*   Date*   Area Code*   Phone Number*   First Name*   Last Name*