Page 11 - TPA Journal March April 2022
P. 11
Texas Police Association Scholarship Application
Glen H. McLaughlin Memorial Foundation
Applicant Must be a Member of TPA Date:
Name of Applicant:
Agency: PID #:
Time in Service with Current Agency: ______ years ______ months
Certification: (Circle One)
Basic Intermediate Advanced Masters
Current Position at Agency:
Request to Attend Training:
Leadership Conference Date:
Counter-Terrorism Conference Date:
Other TPA Training: Date:
How does this training benefit you and your agency? __________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Continue on back if necessary.
Applicant’s Signature: Date:
Locally Endorsed By: Police Chief Sheriff Department Head (Circle one)
Endorsing Official’s Name & Title:
Endorsing Official’s Signature: Date:
TPA Regional Director’s Name:
TPA Regional Director’s Signature: Date:
The application form can be accessed on the TexasPoliceAssociation.com website. Fill out the form and sign it.
Have your application endorsed by the appropriate individual (Chief, Sheriff, Department Head, or Designee) and
forward to:
Texas Police Association The application can also be sent by email to:
P. O. Box 4247 mona@texaspoliceassociation.com
Austin, TX 78765-4247
