Charlotte-Mecklenburg Fraternal Order of Police, Lodge #9 Scholarship Application

I am an Active Member of the Charlotte-Mecklenburg FOP Lodge #9 (continue to "Applicant Information" section.)

I am an immediate family member of a Charlotte-Mecklenburg FOP Lodge #9 member (Complete the "Sponsor's Information" section first, then "Applicant Information". Your sponsor is the Lodge #9 member).

What is your relationship to the member?

Sponsor's First Name

Sponsor's Last Name

Sponsor's Phone

Sponsor's Email

Applicant Information

First Name

Last Name

Address

City

State

Zip Code

Phone

College/University Attending:

What level of degree are you currently working toward?

What is your major or area of study? (Criminal Justice, Nursing, Education, etc.)

When is your anticipated graduation date? (month/year)

What is the name of your financial advisor at your school?

What is their contact information (phone or email)?

I swear the information submitted in this application is true and correct and that I am currently enrolled as a student at the school listed in the Applicant Information section. I understand that if I willfully falsify any information in this application I will be required to repay the full amount and/or face prosecution by the Charlotte-Mecklenburg FOP Lodge #9.

I have read and understand the rules and eligibility requirements of this scholarship.

Upload Proof of Enrollment Here

Your Signature