Du Page Juvenile Officers’ Association

2018 Scholarship Application

All Categories must be completed, please print or type.
INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED
APPLICATIONS MUST BE E-MAILED OR MAILED(POST MARKED)NO LATER THAN April 4th, 2018
TO: Du Page Juvenile Officers Association, 900 Ogden Avenue #185, Downers Grove, IL 60515
OR
Emailed by selecting the “SUBMIT” button below

Q ua lif ic a t io ns
- Applica nts must b e a Resi dent of D uPa ge C ounty
- Ap p lic a nts mu s t b e e n r o l l e d a t a c o l l e g e o r u n i v e r s i t y b y S e p t e m b e r 2 0 18
- Applica nts must b e majori ng i n a fi el d r ela t ed to la w enf orc ement or yout h s ocial
services. Education majors are not eligible.

Questions please call:

DJOA Scholarship Committee Board Member Dorothy Weihofen at 630-393-2131 ext. 3047 or
dweihofen@warrenville.il.us

Documents to be submitted with application:

1.) Letter of recommendation (only one) from a counselor, teacher, school resource officer, juvenile
youth officer or youth worker.
2.) Personal letter setting forth your reason for applying and your plans for the future.
3.) A transcript of your grades
4.) A letter of acceptance from your college or university or verification of admissibility.

Personal Data:
Name (F,M,L) Date of Birth: Age:
Telephone:

Address:
Street City State Zip Code

Present School Status choose one:

High School Undergraduate Vocational Graduate School N/A

Family Status: # of Children in Family and ages:

# of Children Living at Home: # of Children Attending College:

Parents or Guardian Information:

Father/Guardian Name:

Father’s Occupation:

Father’s Annual Income:

Father’s Address & Phone #:

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Mother/Guardian Name:
Mother’s Occupation:
Mother’s Annual Income:
Mother’s Address & Phone #:

EDUCation:
Grammar School:

High School:

ACT/ SAT Scores: ACT SAT

Rank in class: out of based on semesters. Cumulative GPA:

Academic Honors:

College or University applying to:

Intended course or study course (Major/Minor):

Extra-Curricular Activities, Volunteer Work or Organizations:

Employment: List any jobs or part-time employment and dates:

Financial/Scholarships
Do you now hold, or have you applied for a scholarship(s)? If yes, please identify:

Source:

Period of Scholarship: Amount:

Source:

Period of Scholarship: Amount:

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Personal References
Name: Address:

Telephone:
Name: Address:
Telephone:
Name: Address:

Telephone:

YOU MUST SUBMIT THE FOLLOWING DOCUMENTS BELOW (CHECK OFF THAT YOU
ATTACHED THEM TO THIS APPLICATION). I UNDERSTAND THAT IF ANY OF THESE
DOCUMENTS ARE MISSING MY APPLICATION WILL NOT BE PROCESSED.
Transcripts
Personal Letter
Letter of Recommendation
Letter of Acceptance or Verification of Admissibility

BY INITIALING EACH STATEMENT BELOW, I HEREBY CERTIFY THAT THE STATEMENTS

HEREIN ARE TRUE AND CORRECT.
I hereby authorize DuPage Juvenile Officers Association to publish the photographs taken of me,
and my name, for use in the DJOA’s printed publications and website.

I acknowledge that since my participation in publications and websites produced by

DJOA is voluntary, I will receive no financial compensation.

I further agree that my participation in any publication and website produced by DJOA
confers upon me no rights of ownership whatsoever.

I release DJOA, its contractors and its employees from liability for any claims by me or any
third party in connection with my participation.

Applicant’s Signature: Date:

SUBMIT

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