Online Scholarship Application Virginia Sheriffs' Institute > Scholarship > Online Scholarship Application Personal Information Name (First, MI, Last)* Email Address* Home Street Address* City* State* VAALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMTNENVNHNJNMNYNCNDOHOKORMDMAMIMNMSMOPARISCSDTNTXUTVTWAWVWIWY Zip* Phone* Resident Sheriff* Are you a child/spouse of an active or retired law enforcement officer? No Yes If yes, what law enforcement agency? Education High School Name* Year Graduated* High School Address (City, State)* College/University Attending* College Street Address* College City* State* ---VAALAKAZARCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMTNENVNHNJNMNYNCNDOHOKORMDMAMIMNMSMOPARISCSDTNTXUTVTWAWVWIWY College Zip* Indicate your class status for the academic year 2016-2017* ---FreshmanSophomoreJuniorSeniorGraduate Declared Major* Declared Minor* Will you be enrolled as a full-time or part-time student? Full-time Part-time Have you ever received a Virginia Sheriffs' Institute Scholarship? No Yes Statement of Activities, Honors, Leadership List school and community activities, including years in which you participated. High school activities may be included if you are currently a high school or freshman student. Identify leadership positions you have held. List any honors or awards you have received.* Dates, activity Professional Information Supply a brief resume of any work experience, including your position, starting and terminating dates and any other pertinent information.* Employer, Position, Dates Essay Please write a short essay on (a) your proposed course of college study, (b) how you reached this decision, (c) what you expect to gain from college, and (d) your personal goals and ambitions. Be thoughtful in developing your essay. The essay is your opportunity to convey your motivations and personal characteristics to members of the committee making the scholarship decision. Each document may be a Word document, text file or PDF. File size limit for each file is 1.5 mbs. Attach your essay.* Attach your highschool records and SAT or ACT scores (freshman applicants only) or your college records indicating your grade point average and major.* Please attach a letter of acceptance or other proof of acceptance from the college/university you plan to attend.* Please attach a letter of recommendation from the sheriff of the jurisdiction in which you permanently reside. If you are over the age 18, please attach a copy of your voter registration card and if under 18, a copy of a picture ID with home address.* Certification I believe myself eligible for the Virginia Sheriffs' Institute scholarship program and certify that all information contained in this application is complete and true. I understand that the decisions of the committee in the selection of the scholarship recipients will be final. I do hereby give permission to the Virginia Sheriffs' Institute (VSI) or the Virginia Sheriffs' Association (VSA) to publish my name, where I live (city, county and state only), college I am attending, essay and photograph(s) of award being presented. This information may be used in newsletters, website, brochures, newspaper or other forms of media publication. By submitting and signing the application, Applicant, or if a minor, Applicant's parent or legal guardian, consents and authorizes the use of the Applicant's name and photograph in any VSI/VSA publication, advertisement, publicity, correspondence and/or disclosure. Signature of Applicant* Date* Signature of Parent or Guardian (Applicants less than 18 years old) Date Please enter the letters below. This helps prevent spam. Please leave this field empty. Please allow a few moments for this form to send. A message will display when it has sent.