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IACLEA Application for Scholarship Award

Please review the IACLEA/Motorola Scholarship Application Requirements.

Individuals providing references should mail them to Chris Blake at the address provided below.

Please completed the application and attachments mail them to EDI Scholarship, Attn: Chris Blake. 342 North Main Street, West Hartford, CT 06117-2507. If you have questions about this scholarships and/or eligibility, please contact Chris Blake at (860) 586-7517; Fax: (860) 586-7550; Email:

SECTION 1 Personal Information
Last Name:
First Name:
Middle:
Mailing Address:
City:
State/Province:
Zip/Postal Code:
Country:
Telephone:
Email:
Gender:	Female Male
Race/Ethnicity:	African American/Black American Indian/Native American Asian Hispanic/Latino Native Hawaiian/other Pacific Islander White/Caucasian
Year of Experience in Management Position:
	SECTION 2
Please answer each question below in no more than 500 words.
Explain why you are applying for a scholarship to attend the Executive Development Institute. Please be specific in your response.
Describe your management experience and career advancement in campus public safety and why you believe you are a strong candidate to attend the Institute.

Describe your leadership skills and explain how you will benefit from attending the Institute and how it will help you perform your job duties.

Supporting Documents Attach your updated resume Provide a brief (250 word) bio to be used for marketing purposes Provde a head shot (high resolution jpg) to be used for marketing purposes Provide two letters of recommendation Letters of Recommendation (two) Please include a letter from a professional colleague, either from your own agency or another institution Please include a letter from your immediate supervisor or department head Each Letter must address: How you have demonstrated your leadership skill at work and what have been some of the outcomes that have resulted from your leadership? How your attendance at the EDI will benefit your agency by applying what you have learned?
I have reviewed this application and verify that all the information provide for this scholarship is true.
Applicant Signature: Date

IACLEA Application for Scholarship Award

Supporting Documents

Letters of Recommendation (two)

Each Letter must address: