Chief Richard J. Sassi. Chairman
Daniel J. Marden Scholarship Committee
c/o City of Beacon Police Dept.
One Municipal Plaza
Beacon, NY 12508
845.838.5092 (fax)
- College Application -
CBA Members Info:
Last:
 First:
 Middle:
Street:
City:
 State:
 Zip:
Student Info:
Last:
 First:
 Middle:
Birthdate:
 SS#:
Students Phone Number:
 Email Address:
Grade Average:
 School Attending:
School Info:
Street:
City:
 State:
 Zip:
Phone Number of School:
 * Grade Average to be verified upon request:
Lottery Number Assigned:
Application is due by April 15 each year. Please fax or mail application
Contact: email: cba154@aol.com phone: 914.788.7089
Address: 1887 East Main St. • Peekskill, NY 10566
© 2002 NYS CBA. All Rights Reserved.
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phone: 352.771.0411
email: chief@CopShop.Com