IACLEA Application for Scholarship Award

Please review the IACLEA Scholarship Application Requirements. Only complete applications that include all attachments and are postmarked on or before March 31 will be forwarded to the Awards and Recognition Committee for consideration. In 2007, the Mary Voswinkel Memorial Scholarship became fully endowed as a result of the proceeds of the Silent Auction held at the Annual Conference. The Board of Directors voted to award this annual scholarship to a qualified female student pursuing a career in law enforcement. Nominators should specify in their cover materials whether the candidate is being nominated for the Mary Voswinkel Memorial Scholarship.

Completed application and attachments should be returned to IACLEA Annual Scholarships, Attn: Chris Blake. 342 North Main Street, West Hartford, CT 06117-2507. If you have questions about these scholarships and/or eligibility, please contact Chris Blake at (860) 586-7517; Fax: (860) 586-7550; Email:

Personal Information
Last Name:
First Name:
Middle:
Mailing Address:
City:
State/Province:
Zip/Postal Code:
Country:
Telephone:
Email:
Enrollment Status:	Full-time   Part-time
Class Status:	Freshman    Sophomore     Junior     Senior
Current/Intended Academic Major:
Degree Sought:	Associate  Bachelor    Other
Anticipated Date of Graduation:	Select Month January February March April May June July August September October Novemeber December     Select Year 2006 2007 2008 2009 2010 2011
Extracurricular Activities: (Clubs, sports, etc.) (Note: you may also include high school activities)
Personal Interest/Hobbies:
Institutional Representative Recommendation To the Institutional Representative: Please print (black ink) or type all recommendation information. Attach any supporting documentation/correspondence your wish.
Applicant Name:
Employment Status:	Part-time  Full-time    Other
Employment Schedule:	hours per
Position/Title:
Duties/Responsibilities:
How Long has applicant been employed with your department?
Please tell us something about applicant:
IACLEA Institutional Representative
Rep. Name:
Position/Title:
Institution:
I have reviewed this application and hereby recommend the applicant for consideration for a Scholarship Award.
IACLEA Institutional Signature:    Date