Online Scholarship/Grant Application - California Peace Officers' Memorial Foundation

California Peace Officers’ Memorial Foundation
2023 Scholarship Program Application

Dependents of California peace officers who have died in the line of duty are eligible to receive annual scholarships from the California Peace Officers’ Memorial Foundation.

Name*
First Last
Birth Date
MM slash DD slash YYYY
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email
Peace Officer Information
Name of peace officer killed in the line-of-duty:*
First Last
Officer's employing agency:*
Officer's End of Watch date:*
MM slash DD slash YYYY
Your relationship to peace officer:*
School Information
School of choice:*

(Proof of Enrollment must be emailed to cpomf@camemorial.org for application to be considered)
Check one:
- Trade School
- 2-year/Community College
- 4-year College/University
- Postgraduate
Currently Enrolled:
- Yes
- No
Intended Major:
Intended Career:
G.P.A. at last school attended:
Have you previously applied for and/or received a scholarship from the California Peace Officers Memorial Foundation? If yes, please list dates and provide most recent transcripts:
In the space below please state why you feel you are deserving of a financial award.*
This section must be completed.
In the space below please provide details of academic achievements, financial need, school activities and community service work.
Do you have a family relationship (either by blood or marriage) with a director or officer of the California Peace Officers’ Memorial Foundation or any of their family members? Please explain your relationship in detail.
All of the information provided in this application is true to the best of my knowledge and I have read and understand the award requirements:*
- Yes
OPTIONAL: Upon receipt of CPOMF Scholarship Program funds, I give permission for CPOMF to use my photo in print material and on the CPOMF website relating to their Scholarship Program.
- Yes
- No
Upload Photo
Max. file size: 16 MB.
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Peace Officer Information

School Information