CSOC SCHOLARSHIP PROGRAM DESCRIPTION ***ONLY IN-STATE SCHOOLS ARE ELIGIBLE***

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County Sheriffs of Colorado (Mail or deliver application to the Sheriff s Office in the county of your permanent residence) CSOC telephone: 720-344-2762 Web: www.csoc.org CSOC SCHOLARSHIP PROGRAM DESCRIPTION ***ONLY IN-STATE SCHOOLS ARE ELIGIBLE*** Program Philosophy Statement To carry out our commitment to the Honorary Members of the association, County Sheriffs of Colorado (CSOC) established a scholarship program in 1978. Since then, this effort has continued as a meaningful expression of the sheriffs confidence in and respect for education and training. CSOC considers this an investment in the future and believes that our membership is helping to provide deserving students with an opportunity to make a positive contribution to society as a whole. County Sheriffs of Colorado, through its honorary membership program, awards approximately thirty $500 scholarships every academic school year. Eligibility This year, each Sheriff s Office on the even-numbered year list will accept scholarship applications through February 26, 2016, for awards applicable to the 2016/17 academic year. If you are a permanent resident of a county on the even-numbered school year list, please apply by the February 26, 2016, deadline. ALTERNATING COUNTY SCHEDULE Odd-numbered school years Even-numbered school years (2017/18, 2019/20 ) (2016/17, 2018/19 ) Alamosa Hinsdale Adams Mesa Archuleta Jackson Arapahoe Moffat Bent Jefferson Baca Montrose Boulder La Plata Chaffee Morgan Broomfield Las Animas Delta Park Cheyenne Lincoln Denver Pitkin Clear Creek Logan Eagle Prowers Conejos Mineral El Paso *Pueblo Costilla Montezuma Fremont Rio Blanco Crowley Otero Garfield Rio Grande Custer Ouray Gunnison Routt Dolores Phillips Huerfano San Juan Douglas *Pueblo Kiowa Summit Elbert Saguache Kit Carson Teller Gilpin San Miguel Lake Weld Grand Sedgwick Larimer Yuma Washington *Pueblo County does a scholarship each year

Any permanent legal resident of a Colorado county from the even-numbered list above who plans to enroll in a vocational training program or institution of higher learning in the state of Colorado as a fullor part-time student for the 2016-17 school year is eligible. Applicants do not need to be honorary members of CSOC but must reside in a county that participates in the program. Those who have received scholarships in previous years may apply again and be considered for an additional award. Applicants must be legal residents of the United States and eligible for admission or readmission to the school(s) or institution(s) of learning indicated in the application. The award will only be paid for attendance at certified schools or institutions of learning within the State of Colorado. There shall be no restrictions as to the course of study or training pursued. No restrictions shall be placed by reason of race, creed, color, age, sex or national origin. We will only consider applicants that apply using the CSOC SCHOLARSHIP APPLICATION. Applicants submitting other forms will be disqualified. Terms Applicants must maintain good standing in their chosen program. Obtaining an Application CSOC SCHOLARSHIP APPLICATION GUIDELINES Applications may be obtained through our website at www.csoc.org, or by contacting the Sheriff s Office in the county of the applicant's permanent residence. They may be typed or handwritten. Application Filing Deadline All applications must be submitted to the Sheriff s Office in the applicant s county of permanent residence no later than February 26, 2016. Selection Applications received by your local Sheriff s Office will be reviewed by a citizens committee selected by your local sheriff. Each county committee will select one scholarship recipient and two runners up. Announcement of Awards The final selection process is to be completed in time to allow the award announcement by April 15, 2016. Awards will be presented to recipients by the sheriff in the county of the student's permanent residence as soon thereafter as possible. Additional Questions All questions or inquiries regarding the CSOC scholarship program should be directed to the scholarship coordinator, Sharon Villanueva, at the CSOC office at (720) 344-4618, svillanueva@csoc.org. 2

County Sheriffs of Colorado (Mail or deliver application to the Sheriff s Office in the county of your permanent residence) CSOC telephone: 720-344-2762 Web: www.csoc.org 2016/17 SCHOLARSHIP APPLICATION FOR IN STATE SCHOOLS ONLY Instructions: Complete this application in full, including the following required attachments: Personal letter setting forth reasons for the scholarship application and plans for the future. Latest transcript (can be a copy); this must contain school name, courses and grades. Two letters of personal reference (one letter should preferably be a letter of recommendation from principal, counselor or school department head.) Send applications to the Sheriff s Office in the county of your permanent residence no later than February 26, 2016. Do not send applications to the County Sheriffs of Colorado office. Send or drop off to your own county sheriffs office. Scholarships will only be paid to a Colorado School. Applicant Information: Name: Birth Date: Home Address (Include street address, city, state and zip code: E-mail address: County of Permanent Residence: Legal resident of the United States (circle one): Yes No Phone Number(s): Permanent Colorado Residence (if different from above address & county): Sex: Colorado Drivers License Number:

Family Information: Father: Occupation: Mother: Occupation: Number of brothers and/or sisters now attending institutions of higher learning: Employment Information: List jobs, if any, indicating dates and whether full- or part-time: School Information: High School(s) and Dates: Graduation Date: Grade Point Average: Rank in Class: Institution(s) of Higher Learning and Dates: Degrees or Credits Earned: Grade Point Average: Rank in Class: 2

List academic honors (include dates): Future School Plans: Scholarships will only be paid to a Colorado School Name of Colorado school or institution for which scholarship will be applied: Course to be pursued: Extra-Curricular Activities: List sports, band, orchestra, scouts, 4-H, newspaper, etc., and indicate dates: Community Service: List community service activities and indicate dates: Financial Information: Do you now hold or have you applied for other scholarships? Identify source, amount, and period of scholarship. 3

Do you now receive, or have you applied for, any other financial assistance to pursue your chosen course of study? Explain source and amount received. Are you self-supporting? Do you anticipate that your parents (guardian, relatives, etc.) will provide financial assistance for you to attend school? While need is not a primary determinant, CSOC does take it into consideration. Therefore, please indicate an annual salary range for your parents (guardian) and for yourself. If you are over age 23 and self-supporting, you only need to enter your anticipated annual income. Parents/Guardian or Spouse Self $ 0 15,000 $15,000 30,000 $30,000 45,000 $45,000 60,000 $60,000 75,000 $75,000 90,000 $90,000 and up Required Attachments: Personal letter setting forth reasons for the scholarship application and plans for the future. Latest transcript (can be a copy); this must contain school name, courses and grades. Two letters of personal reference (one letter should preferably be a letter of recommendation from principal, counselor or school department head.) Certification I hereby certify that the statements herein are true and correct to the best of my knowledge. Signature: Date: 4

County Sheriffs of Colorado (Mail or deliver application to the Sheriff s Office in the county of your permanent residence) CSOC telephone: 720-344-2762 Web: www.csoc.org 2016-2017 CSOC SCHOLARSHIP PROGRAM All applicants residing in Garfield County, Colorado (Parachute/Battlement Mesa, Rifle, Silt, New Castle, Glenwood Springs, Carbondale) please submit your application to the Garfield County Sheriff s Office at one of the locations below: Garfield County Sheriff s Office 107 8th Street Glenwood Springs, CO 81601 Attn: Maira Contreras Garfield County Sheriff s Annex 106 County Road 333-A Rifle, CO 81650 Attn: Maira Contreras For general questions regarding the scholarship please contact County Sheriffs of Colorado at (720)344-2762. To confirm that your application has been received at the Garfield County Sheriff s Office, please contact Maira Contreras at (970)945-0453 x1082 or via email at mcontreras@garcosheriff.com. Applications MUST be received at one of the two locations no later than Friday, February 26, 2016. Applications will be reviewed and finalists will be notified on or about March 7, 2016 if an in-person interview is requested. In person interviews will be scheduled to be conducted during the second half of March, 2016. BEST OF LUCK! Application Instructions Garfield County 2016