Jimmy Waters Scholarship Application – Peace Officers Association of GA

Jimmy Waters Scholarship Fund

Criteria for Application
• Applicant must be child or grandchild of active, retired or deceased POAG member.
• Applicant must be a fulltime college student.
• Applicant must have completed at least one year of college.
• Application must have a need for financial assistance.
• Application must be in POAG office by June 15th.

Are you a previous recipient of the Jimmy Waters Scholarship Fund?*
If previous recipient, what year?
Applicant's Full Name*
First Middle Last Suffix
Mailing Address*
Street Address Address Line 2 City State ZIP Code
Phone Number*
Date of Birth*
Applicant's relation to POAG member*
- Son
- Daughter
- Grandson
- Granddaughter
POAG Member*
First Last
Membership years for POAG Member*
example: 1999-2012
Applicant has completed at least once year of college at....*
List name of college or university
Applicant's Grade Point Average*
For the upcoming academic school year the applicant will be a student at ....*
List university or college
Service organizations and Honors/Awards
List any service organizations, clubs, etc to which you belonged in high school and college, as well as any honors or awards received.
Why should you be chosen as this year's recipient?*
Please state why you are applying for the scholarship and why you think you should be chosen as this year's recipient.
Applicant's Electronic Signature (Type Your Full Name)*
I do hereby certify and affirm that all information provided herein is true and correct to the best of my knowledge and belief, and permission is hereby given to the POAG to verify same.