KIMBERLY ANN HOULE MEMORIAL FUND

Kimberly Ann Houle Scholarship Fund

Application Form

Criteria:  The applicant must be a United States citizen, pursuing a college degree in the criminal justice field, with a focus on the corrections field.

Name: _________________________________________

Address: _______________________________________

City ______________________State: ______ Zip: _____

Telephone #: ___________________ E-Mail Address: ______________

Are you a U.S. citizen?  ______ yes _____ no

High School Attended:  _____________________________________

High School Address: ______________________________________

High School Graduation Date: ________

Are you registered and accepted at a college? ____yes ____ no

Name of College ______________________

Declared Major_______________________

For you to be considered for this scholarship award, please answer the following questions on a separate piece of paper, no more than two pages. 

1. Why are you interested in pursuing a career in the corrections field?
2. What talents and gifts do you have that you feel will be an asset to a career in the corrections field.

  I acknowledge that the above information to be true and accurate.  I realize that this is an application only, and there is no guarantee I will receive financial assistance, and that the final decision will be made by the board members of the Kimberly Ann Houle Scholarship Fund.

_____________________________                                 ____________________

Signature                                                                                            Date

Please forward this completed application to your faculty advisor or mail to:

Kimberly Ann Houle Scholarship Fund

5 Stonehill Drive, Apt 4A

Stoneham, MA 02180