North Carolina APCO Scholarship Application

* APCO Membership Number If you do not know your membership number, you can visit www.apcointl.org and select Login.

Applicant Information

* First Name

* Last Name

* Title

* Agency Name

Applicant Mailing Address

* Street Address

Street Address Line 2

* City

* State

* Postal / Zip Code

* Phone Number Please enter a valid phone number.

* Email Address [email protected]

* Total Years of Experience

0-5 Years
6-10 Years
11-15 Years
15+ Years

Applicant Certifications

APCO Registered Public Safety Leader (RPL)
APCO Certified Public Safety Executive (CPE)

* Name of Direct Supervisor

* Email Address of Direct Supervisor

* Course/Conference Applying for

Have you previously received a scholarship from North Carolina APCO?

Yes
No

Essays

* Please briefly explain the primary duties of your job and explain how this scholarship will help you in the performance of your duties

* How will this certification/training benefit you in your career?

* How do you plan to cover expenses that are not covered by the scholarship?

Scholarship Terms and Conditions

* I certify that my answers are true, accurate, and complete to the best of my knowledge. If this application leads to an award of scholarship, I understand that false or misleading information in this application may result in denial of revocation of appli

Yes
No

* I certify that I am a current member of North Carolina APCO.

Yes
No

* I agree to release North Carolina APCO from any liabilities from attendance at the training or event.

Yes
No

* I agree that at any time before, or during, the event, if I leave my role in public safety communications, whether voluntarily, or not, that I will forfeit my eligibility for the scholarship.

Yes
No

* I agree that if I fail to complete the course or training aforementioned, I will forfeit my eligibility for this scholarship.

Yes
No

* I agree that the Executive Committee of North Carolina APCO reserves the right to effectively manage and enforce all aspects of this program to ensure the success of the North Carolina APCO Scholarship Program.

Yes
No

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North Carolina APCO Scholarship Application

Applicant Information

Applicant Mailing Address

Essays

Scholarship Terms and Conditions

NC APCO 2025-2026 Diamond Sponsors