Applicant Information

Name

First Name: *

Last Name: *

Address

Mailing Address: *

Street:

City: *

State: *

Postal code: *

Contact Information

Daytime Phone Number: *

Email: *

Date of Birth

Date: *

License Number of Relative

License number of relative that holds a Alabama Bail/Recovery Agent State License

School Information

Name of High School attending: *

Cumulative Grade Point Average (GPA): *

Student Information

List any academic honors, awards and membership activities while in high school: *

List your work activities: *

List your hobbies, outside interests, extracurricular activities and school-related volunteer activities: *

List your non-school sponsored volunteer activities in the community: *

Additional Files: (optional)

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Program Information

College, University, Technical School or Trade School to be attended: (Must provide proof of enrollment) *

Proof of Enrollment *

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Field of Study: *

Required Documents:

Unofficial school transcripts (Winners will be required to submit official transcripts before the awards will be disbursed) *

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An essay (not to exceed 500 words) addressing your views on the Bail Industry. Essays exceeding the word-count limit will not be read.

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2 Letters of Recommendation *

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STATEMENT OF ACCURACY FOR STUDENTS

I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I understand that my failure to provide accurate information may be grounds for disqualification from the scholarship process.

I hereby understand a plagiarized or off-topic essay will be grounds for disqualification from the scholarship process.

I hereby understand decisions of the scholarship committee will be final.

I hereby understand I will not submit this application without all required attachments and supporting information. Incomplete applications or applications that do not meet eligibility criteria will not be considered for this scholarship.

Signature of scholarship applicant: *

Clear

Date: *

I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.