IOWA STATE SHERIFFS’ AND DEPUTIES’ ASSOCIATION

EVELYN COVINGTON SCHOLARSHIP AWARD

2015 - 2016 SCHOOL YEAR APPLICATION

Ten (10), $1,000.00 scholarships, awarded $500.00 each semester for the first year, will be awarded to ten (10) senior high school children of current (2016) ISSDA members, who will be graduating high school in the Winter/Spring of 2016. This will be paid in Sept, 2016 and Feb, 2017

Name of Applicant ______

Address ______County ______

City ______Zip Code ______

Home Phone ______Date of Birth ______

Gender ___ Date of Graduation ______Name of School ______

Father’s Name ______Occupation ______

Mother’s Name ______Occupation ______

County of ISSDA Member ______

Number of Dependent Children in Family ______

Name of Institution(s) you intend to enroll ______

______Have you made application? ______

Have you been accepted at this time? ______Major Chosen ______

Have you taken the ACT or SAT Test? ______If yes, your score ______

Grade Point ______Number in Class ______Rank in Class ______

Email address: ______@______

We will contact you at this email address. Please make sure this is correct and notify ISSDA if it changes ().

1) On a separate sheet of paper, please write an essay of at least 200 words, stating any outstanding achievements, extra curricular activities, work experience, etc., that might be helpful to the committee in judging your application.

2) Submit reference statements from three (3) teachers, (past or present).

3) Submit a graduation photograph. This will be used in the ‘GOLD STAR’, if chosen.

This application must be completely filled out, along with the extra three (3) items above, returned to President John Godar, 310 2nd Ave. SW, Cedar Rapids, IA 52404, by March 31st, 2016, or your application will not be considered.

The Scholarship Committee comprised of ISSDA members will review the applicants and make the final determination at the Civil School on April 20th. Winners will be notified by EMAIL, after April 20th.