Clark County Deputy Sheriff Guild

Sgt. Jeremy R. Brown For the Greater Good Scholarship Fund Application

First Name:

Last Name:

Address:

City, State:
,

Zip Code:

Date of Birth:

Phone Number:

Email Address:

How long have you lived in Clark County? If you do not live in Clark County, what is your relationship to Clark County First Responders?

From which High School did you or will you graduate?

To which School or Military branch have you been admitted?

Date school or enlistment begins:

Signature:

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