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Name of Applicant:__________________________________________________ Street Address: ____________________________________________________City: ___________________ State: _______________ Zip Code: ____________ Telephone: ( ) _______ - __________ Birth Date: ____/____/____ Social Security #: ______-_____-______ College Choice:_____________________________ SAT score: Math______ Writing______ Critical Reading______ &/or ACT score:_______ Name of Sworn MOS Parent Associated with Applicant:_____________________________
(NOT FOR CIVILIANS) Date of Retirement:(if applicable):___________ Rank_________ If Active: Current Command:_______________________ Rank__________________ Relationship To Applicant: Father_________ Mother___________ Winners must be attending a two or four year college and be matriculated during the period from September 1, 2009 to August 31, 2010. Proof of acceptance to the school must be provided before awards can be claimed. Return this completed application to: Police Reserve Association City of NY, Inc. 244 Fifth Avenue Ground Floor New York, N.Y. 10001 Questions? CAll (212)-564-0010 The exam will be given on March 25, 2009. No applicant will be admitted unless a completed application is on file with the |
