APPENDIX 13
APPLICATION FOR CONSTABLE
W.C. MOSS SCHOLARSHIP


This scholarship is available only to sons or daughters of members, past or present, of the Royal Newfoundland Constabulary or the Royal Canadian Mounted Police in Newfoundland.

A. APPLICANT

(1) Name                                                                                                                                      

(2) Date of Birth                                                                                                                           

(3) Name and Address of School                                                                                                  

(4) Are you presently enrolled in the Nfld. Senior High School program?                                       

(5) Are you eligible for graduation in June of this school year?                                                      


B. PARENT

(1) Name                                                                                                                                      

(2) Home Address                                                                                                                        

(3) State whether member of  R.N.C. or  R.C.M.P. (Circle one.)

(4) Rank and Registration Number                                                                                               

(5) If member of the R.C.M.P., give date of service in Newfoundland.

      From                                        to                                       

(6) If not an active member of either Force, give date of retirement or death.

                                                                                                       

                                                                                                                          
                   (Date)                                                   (Signature of Applicant)

.......................................................................................................................................................

Applications are to be forwarded to the Manager of High School Certification, Department of Education , P.O. Box 8700, St. John's, NF, A1B 4J6 by March 31st.