Nate Bruckenthal Memorial Scholarship Application

Applicant Information
Name *
Address *
High School Address *
High School Address
Email unofficial transcripts to Official transcripts will be required if selected for the scholarship.
List sports played, level (varsity; JV), role on team (captain) and dates
List all the leadership and officer positions in any organization that you have held along with your single biggest achievement. Include any other areas where you have exhibited leadership.
List any academic, sports, or community honors, award or other special recognition you have received
List community service activities you've participated in within the past 2 years:
Institution of Higher Learning Where You Are (Intend to) Enrolled
DSF Sponsor Information
Information of the parent or guardian who is sponsoring your application
TLE Insignia? *
Is your sponsor authorized to wear the Tactical Law Enforcement Insignia
Sponsor Address *
Sponsor Address
If not active or retired, just indicate that
You must be a dependent of the sponsor to apply
750 word limit.
750 word limit.
Submit Application
Confirmation *
I give my word that everything in this application is true and content was created by me.