Christopher Meadows Advanced EMS Scholarship

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Christopher Meadows Advanced EMS Scholarship Application

Deadline is November 15th, 2026

"*" indicates required fields

Personal Information

Name*

First Last

Date of Birth*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Attach a copy of your most recent EMT or Paramedic License*

Max. file size: 60 MB.

Resume*

Max. file size: 60 MB.

At which school are you currently enrolled in an advanced EMS program:

School Name*

School Address*

Street Address Address Line 2 City State ZIP Code

Field of Study*

Intended Degree/certification:*

Enrollment Date:*

Anticipated Date of Completion of Program:*

Proof of Enrollment*

Max. file size: 60 MB.

Financial Need

What is the expected cost of your program (tuition, books, supplies, uniforms, internships, etc)?*

What other sources of financial aid have you secured?*

What is the dollar amount of that financial aid?*

Professional Reference & Letter of Recommendation

Name*

First Last

Relationship to you*

Letter of recommendation (attach file)*

Max. file size: 60 MB.

Essay (up to 500 wds) answering the question “Why do you want to pursue this advanced medical program and why do you feel you should you be awarded the Christopher Meadows Memorial Advanced EMS Scholarship?” and reflecting on the background about Christopher Meadows found in the application guidelines.

OR ATTACH FILE BELOW

Attach essay file

Max. file size: 60 MB.

Special considerations or hardships you would like the interview committee to consider.

Declaration: I certify that the information in this application is correct and accurate to the best of my ability.*

Certify

Signature*

Date*

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The above Memorial Fund is established as a division of CharitySmith Nonprofit Foundation, EIN 87-0636433.

All donations are tax deductible in accordance with federal tax law. Receipts for tax purposes are sent via US Mail within two weeks of donation. Please consider asking if your employer participates in a gift-matching program. If so, your donation may be matched by your employer.

For questions regarding your donation or this memorial fund please contact CharitySmith.

CharitySmith Nonprofit Foundation 13100 Filly Lane Truckee, CA 96161

866-558-2064