2026 SCHOLARSHIP APPLICATION

SCHOLARSHIP APPLICATION
SCHOLARSHIP DEADLINE IS EXTENDED TO JULY 17TH, 2026, 5:30pm. ALL APPLICATIONS MUST BE SUBMITTED BY THAT DATE.
PERSONAL (Required)
Name

First NameLast Name
DATE OF BIRTH (Required)

MonthDayYear
Date
PERMANENT ADDRESS (Required)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Residential Address at your College/University
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
TELEPHONE NUMBER (Required)
Format: (000) 000-0000.
EMAIL ADDRESS (Required)
example@example.com
GENDER: (Required)
CHECK ONE: (Required)
FIRST GENERATION COLLEGE STUDENT (Required)
ARE YOU WORKING OR INTERNING WHILE ATTENDING SCHOOL (Required)
DOES ANY MEMBER OF YOUR FAMILY WORK FOR OR HAVE RETIRED FROM PALM BEACH COUNTY LAW ENFORCEMENT

ACADEMIC
NAME OF SCHOOL
Student ID Number
CURRENT ACADEMIC STANDING
Major(s)/ Field of Study: (For example - Accounting or Political Science)
Degree Being Pursued: (For example - BS in Engineering or MBA)
If graduate student, indicate current year of study:
NUMBER OF CREDITS COMPLETED
NUMBER OF CREDITS ENROLLED/SEMESTER
OVERALL CUMULATIVE GPA
EXPECTED GRADUATION DATE
DO YOU CURRENTLY RECEIVE, OR HAVE YOU APPLIED FOR, ANY OTHER SCHOLARSHIPS, GRANTS, OR FINANCIAL AID? IF SO, PLEASE PROVIDE DETAILS OF THE TYPE, AMOUNT AND STATUS. WE ASK THIS INFORMATION TO BETTER UNDERSTAND YOUR OVERALL FINANCIAL SITUATION.
IF YOU HAVE ANY SPECIAL CIRCUMSTANCES WHICH IMPACT YOUR FINANCIAL NEED, PLEASE DESCRIBE.
HOW ARE YOU CURRENTLY FUNDING, OR HOW DO YOU INTEND TO FUND YOUR EDUCATION?

PLEASE LIST YOUR COMMUNITY SERVICE EFFORTS AND NON-PROFIT LEADERSHIP EXPERIENCE OVER THE PAST 5 YEARS.
WHAT IS YOUR CAREER GOAL AND HOW DO YOU PLAN TO ACHIEVE IT?
PLEASE DESCRIBE YOUR WORK OR COMMUNITY SERVICE, AND HOW THAT CONTRIBUTES TO YOUR CAREER GOALS. IF YOUR CURRENT WORK OR COMMUNITY SERVICE DOES NOT LINE UP WITH THESE GOALS, PLEASE EXPLAIN.
IF YOU ARE AN ADULT RETURNING TO SCHOOL, PLEASE EXPLAIN YOUR CIRCUMSTANCES. IF THIS DOES NOT APPLY TO YOU, PLEASE INDICATE N/A.
PLEASE ATTACH A COPY OF YOUR TRANSCRIPTS (Required). High School Seniors entering their Freshman year of college: please submit high school transcripts. Undergraduate and Graduate Students: Please submit college transcripts.

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IF I AM SELECTED FOR A SCHOLARSHIP, I AM ABLE TO ATTEND THE SCHOLARSHIP RECEPTION IN THE EVENING ON TUESDAY, OCTOBER 6th, 2026.
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SCHOLARSHIP APPLICATION