SCHOLARSHIP APPLICATION

Louisiana Sheriffs' Scholarship Program Undergraduate Educational Scholarship Application

 

The following application is for St. John Parish Residents Only. Applications are only accepted between February 1st and April 1st each year.

Please fill out the following information and when finished, click the SUBMIT button to electronically submit your scholarship application to the St. John Sheriff's Office.

***Please note: The e-mail address used MUST be valid. If the confirmation reply e-mail is returned due to invalid e-mail address, the application will NOT be submitted.

Please provide the following information. All field are required to submit this application.

First Name
Last Name
Mailing Address
Home Address
City
State
Zip Code
Date of Birth
MM-DD-YYYY
Home Phone
985-XXX-XXXX
E-mail
ex. yourname@yourisp.com
A valid email address is required.Invalid format.
High School Attended
City
Parish
 Your cumulative grade-point
average & ACT Score
GPA ACT Score
Your anticipated date
of graduation 
Month Year
What college, university or other
institution of higher learning do
you plan to attend in the fall?
What will be your major field of
study while attending college?
What are your present career plans?

Are you currently receiving, or will you receive, other aid or scholarships?

Yes    No

If yes, explain:

 Information about your family:

Father or Guardian
(full name)
Nature of Employment
Place of Employment
   
Mother
(full name, include maiden name)
Nature of Employment
Place of Employment
How many children are dependent?
Has either parent served in the
U.S. Armed Forces?
Yes No
Branch

In the space provided below, list any scholarship and/or honorary awards that you have received during your high school career. Also include any student activities or organizations which you are a member.

In the space provided below, briefly explain to the best of your ability, the reason you are applying for this scholarship and how receipt of this scholarship will better enable you to reach your career goals.

 

Security code: Enter the letters into the box below:

security code


 

I certify that all of the information contained is true and correct to the best of my knowledge and belief.

I also certify that I am a resident of St. John the Baptist Parish, Louisiana.
Clicking "I Agree" constitutes your agreement of the above application, will constitute as your signature and will submit the application.