Jeff Billingsley Memorial Scholarship Application

Name: ______

Address: ______

Field of Study Entering: Criminal Justice: ______Mental Health: ______

Signature: ______

Submit with Application:

Reference Letters: Parent, Teacher, Non-Friend That Knows You

Proof of GPA 2.0 or Higher for Junior and Senior Year

Copy of Acceptance Letter or Proof of Enrollment in Post High School Learning Institution

Mail Application Along with Required Information to:

Jeff Billingsley Memorial Scholarship

C/o Timothy Polley

310 5th Street

Carrollton KY 41008

This is the story of a small town guy from rural southern Illinois pursuing his dreams as a police officer in Memphis, Tennessee. He was shot twice during a traffic stop and taken to the hospital in extremely critical condition. He rode the ambulance thinking that politeness was the key to Heaven. Jeff was a police officer, chaplain and friend to all. Jeff was an advocate for those in law enforcement that suffered from Post -Traumatic Stress Disorder (PTSD). Jeff passed away in 2014 and this scholarship is our way of celebrating Jeff’s life as well as his love for all those in emergency services and therapy assistance to those involved in the career that he truly loved. In 2014 prior to his death Jeff wrote and published a book (My Second Chance) about his life and his struggles with PTSD. We know that Jeff would be over the moon about this scholarship, and we provide it not only as a memorial, but in a celebration of our dear loved one Jeff.

The “Jeff Billingsley Memorial Scholarship” Requirements for Eligibility

Hello! Here are the qualifications you need to meet and rules you need to follow in order to qualify for the Jeff Billingsley Memorial Scholarship. We understand every circumstance is different, but please be aware that we rarely grant exceptions to these rules. If we did, we’d have to do it for everyone.

● Student must be a senior in high school.

● Student must have maintained between a 2.0 and 3.0 GPA throughout his or her final two years in high school.

● Student should be able to demonstrate a relatively trouble-free last few years. We all make mistakes, but if you’re in and out of the office or jail, there may be someone more deserving.

● Student should be able to produce, at our request, three references: one from a parent, one from a teacher, and one from a non-friend person who knows you.

● Student must plan to attend college the semester following his or her high school graduation and be able to prove enrollment in that learning institution

Counseling Assistance:

Those that are in active law enforcement or are former law enforcement that are suffering from Post-Traumatic Stress Disorder (PTSD) may apply to the scholarship for funds towards mental health assistance.

Proof of PTSD Diagnosis from Physician or Therapist

Funds from scholarship are One Hundred Dollars per scholarship award.

Scholarship applications can be sent to 310 5th street Carrollton Kentucky 41008, in care Reverend Timothy Polley

Donations to the Jeff Billingsley Memorial Scholarship can be sent to 310 5th street Carrollton Kentucky 41008, in care Reverend Timothy Polley. We are sorry but donations are not tax deductible.

Questions concerning the Jeff Billingsley Memorial Scholarship can be sent to or

Decisions regarding scholarships and awards will be determined by The Reverend Timothy Polley and Mrs. Elizabeth Billingsley.