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Sergeant Safety Scholarship Application Form

Sergeant Safety Scholarship Application Form

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Checklist of Required Documentation

Must be a student entering the safety/health/environmental field.
Must be a student employed at or related to an employee at a VPPPA full member site supporting the Department of Defense.
Provide an official copy of your current transcript.
Provide a reference letter from the VPPPA site employee (if applicable) to which you are related.
Provide a reference letter from a high school teacher, university department head, professor, or supervisor at your current job.
Provide a typed biography or current resume. Please include examples of leadership skills in extracurricular activities.

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Personal Information

Applicant Name *

Date

Phone *

Email *

Home Address *

Address Line 1

City

State

Zip Code

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VPPPA Information

VPPPA Member's Name *

Relationship to Candidate *

VPPPA Member Site *

Member ID# *

Phone *

Email *

Member's Address *

Address Line 1

City

State

Zip Code

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Academic Information

Name of Institution *

Student ID Number *

Address of Institution *

Address Line 1

City

State

Zip Code

Address of Financial Aid Office *

Address Line 1

City

State

Zip Code

^† Scholarship winners will have their award sent directly to the institution’s financial aid office.

Class Standing *

What course of studies are you enrolled/enrolling in? *

GPA *

Yes, my GPA is at least 2.5 on a 4.0 scale

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Supporting Documentation

Based on your chosen academic field, please elaborate on your commitment and vision for contributing to the Environmental, Health, and Safety (EHS) sector. Highlight your understanding of the significance of EHS and the impact you aspire to make. *

(You may upload any supporting documents in the section below.)

Please attach the following:

An official copy of your current transcript
A reference letter from the VPPPA site employee (if applicable) to which you are related
A reference letter from a high school teacher, university department head, professor, or supervisor at your current job
Typed biography or current resume (See above for more details)

File Upload

Click or drag files to this area to upload. You can upload up to 7 files.

(Please do not exceed 10 MB maximum combined file size.)

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