ICO FOP Lodge 201 - Scholarship

* Required
Please use the form below to complete the application. Make sure to complete all required fields.
Personal Information
First Name *
Last Name *
Address *
City *
State *
Zip Code *
Telephone Number *
Email Address *
ICO FOP Member Parent / Legal Guardian *
High School Information
High School Attended *
High School Address *
High School City *
High School State *
High School Zip Code *
High School Telephone *
High School Email *
High School Contact Person *
SAT Score (If Taken)
ACT Score (If Taken)
Additional Personal Information
College/University/Trade School/Apprenticeship Choice *
Major Area of Study *
Autobiography *	Upload an Autobiography and Future Aspirations document up to two pages. (PDF Preferred)

Transcript *	Upload a copy of your transcript of high school or college grades. High school transcripts must indicate class rank/class size and test scores. (PDF Preferred)
Extra-curricular Activities *	Upload a document that lists your extra-curricular activities, honors received, scholastic achievements and other significant accomplishments or activities such as high school level sports, civic/community contributions, leadership programs and jobs held. Maximum two (2) pages. (PDF Preferred)
Photocopy of Operator's License or State ID *	(PDF Preferred)
I confirm that the information provided is accurate and legitimate. I confirm that I understand that inaccurate or false information may make this application ineligible for consideration.
Scholarship Contact Information If you have any questions, please contact Angela Goldman at angelagoldman601@gmail.com.
Before you Submit! Make sure all the information you provided is accurate and complete. You will not be able to come back and fix any errors.