Pennsylvania Association of Arson Investigators

Scholarship Application

Personal Information

Name: ____________________________________ Phone: ___________________________

                    (Last)        (First)    (Middle)                                                                (Area code)        (Number)

Address: ___________________________________________________________________

                    (Street No.)                                (City / Town)                                (State)                                (Zip Code)

Social Security Number: __________________________ Date of Birth: __________________

P.A.A.I. Member:    YES ________    NO ________

If NO, Family Members Name: ___________________________ Member Card No. _______

Academic Information

High School and Location: _____________________________________________________

Year of Graduation: ____________     G.P.A.: ______________    SAT Score: ____________

College or University Planning to Attend: ___________________________________________

______________________________________________  Accredited:  YES    NO

Course of Study: _____________________________________________________________

Required Attachments    1. Certified transcripts of High School grades and courses studied. If currently attending college, transcripts of college grades and courses studied.

                                             2. An original essay of 250 words or less, stating "Why I am interested in a Criminal Justice and/or Fire Science related career." The essay must be on a single page, 8 1/2" x 11", plain white paper, either hand or typewritten.

Caution: The Scholarship is intended for the next semester at an accredited two or four year college or university of your choice. Failure to attend will require the immediate return of the award.

Applicant's Signature: _________________________________    Date: ________