Homer F. Weston Memorial Scholarship

Scholarship Application


Please type or print:

 Name:     ____________________________________________________________________

Address:    ___________________________________________________________________ 

Phone #:     ___________________________________________________________________ 

CFD/CFFA Present or Past Members Name:   _____________________________________ 

Years and Time of Service in the CFD/CFFA:    ____________________________________

ACADEMIC INFORMATIO N

 Type of  Program in which you are presently enrolled for the upcoming year (circle one):

                  Graduate                  Bachelor                Associate               Technical

Planned Field of Study:   _______________________________________________________

Enrolled (circle one):              Full Time               Part Time

Name of School/University Attending:    ___________________________________________

Name of Technical School:     ____________________________________________________

List any Civic Groups, Organizations,  Extracurricular Activities, Volunteer Work, etc.

_____________________________________________________________________________________________

_____________________________________________________________________________________________

_____________________________________________________________________________________________

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REQUIRED APPLICATION DOCUME NTS

(These may be attached to your application or mailed separately)

A.   An official transcript or letter from a school official from the most recent Institution attended

B.   A Statement of Interest of 400 words or less including:

·        Why you desire the Homer F. Weston Memorial Scholarship

·        Your personal, educational, and career goals 

·        A list of extracurricular, community and/or volunteer activities.  Include dates of participation and a brief description of each activity.  You may provide an explanation for lack of involvement under special circumstances.  Special circumstances include financial hardship, family responsibilities, etc.  

·        Any other information you want the Committee to consider

C.   Two letters of recommendation:           

·        One letter should be from a teacher, employer, or member of the community familiar with you and your goals.  The other letter should be from a member or past member of the Carver Fire Department.  If it is not possible to provide a letter from a member of the fire service, please attach an explanation.

I certify that all of the information contained in this application and attachments is accurate.

I understand that the Carver Firefighters Association may verify all information that I have provided as part of my application for this scholarship.

________________________________________                ________________________

Signature                                                                                Date


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Last updated Sunday, April 23, 2006 03:15 PM