Scholarships – Application Form To apply for a SWTR Scholarship, read the “Scholarships – Overview and Instructions” page and complete the form below. If you are a human and are seeing this field, please leave it blank. Department Name Archuleta County SO Bayfield MO Cortez PD Colorado State Patrol Dolores County SO Durango PD Fort Lewis College PD Ignacio PD Colorado Parks & Wildlife La Plata County SO Mancos Marshalls Office Montezuma Co. SO Pagosa Springs PD San Juan Co. SO Southern Ute Rangers Other (list in comments) Contact Name Contact Email Contact Phone Last Name of Officer(s) Attending Training Name of Training Dates of Training Training Provider Number of Training Hours Tranining Location Training Description Describe Benefit to Agency and SW Region Cost of Registration Cost of Hotel Per Diem Rate Number of Training Days Cost of Training Per Diem Number of Travel Days Cost of Travel Per Diem Other Costs (limited - must comply with SWCLETA policy) Total Cost of Training / Scholarship Per Officer Total Number of Officers Attending Total Cost of Training for All Officers