Download the application

applicationthumb.jpg Click here to download the scholarship application

Applications are due by October 15th, 2008

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Registration
First Name: * This Field is required This Field IS visible on profile
Last Name: * This Field is required This Field IS visible on profile
Username: * This Field is required This Field IS NOT visible on profile Information for: Username: : Please enter a valid User Name. No spaces, more than 2 characters and contain 0-9,a-z,A-Z
E-mail: * This Field is required This Field IS NOT visible on profile Information for: E-mail: : Please enter a valid e-mail address.
Password: * This Field is required This Field IS NOT visible on profile Information for: Password: : Please enter a valid Password. No spaces, more than 6 characters and contain 0-9,a-z,A-Z
Verify Password: * This Field is required This Field IS NOT visible on profile
Department: This Field IS visible on profile Information for: Department : If you are associated with a Sheriff's Office or Police Department which one?
Are you a member of DSAM?: * This Field is required This Field IS NOT visible on profile Information for: Are you a member of DSAM? : Are you a current member of the Deputy Sheriff's Association of Michigan?
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City: * This Field is required This Field IS visible on profile
State: * This Field is required This Field IS visible on profile
Zip Code: * This Field is required This Field IS visible on profile
Phone #: * This Field is required This Field IS NOT visible on profile
If you are a full member what is your occupation?: This Field IS visible on profile Information for: If you are a full member what is your occupation? : If you are a full member what is your occupation?
If you are a support member what is your occupation?: This Field IS visible on profile Information for: If you are a support member what is your occupation? : If you are a support member what is your occupation?
Website: This Field IS visible on profile
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Thanks for your time in registering. Your membership will have to be verified, but you should receive an email within 12 hours stating you can now login!

If you have any problems or do not received notice within 24 hours please email the website administrator by going to the "Contact" link above.

Thanks again!
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