Christopher Meadows Advanced EMS Scholarship

Christopher Meadows Advanced EMS Scholarship Application

Deadline is November 15th, 2025

"*" indicates required fields

Personal Information

Name*

First Last

Date of Birth*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

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.

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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