Christopher Meadows Paramedic Scholarship

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Christopher Meadows Paramedic Scholarship

Deadline: November 15, 2026

"*" indicates required fields

Personal Information

Name*

First Last

Date of Birth*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

Email*

Education

High School Graduate?*

Yes

High School Name*

High School Address*

Street Address Address Line 2 City State ZIP Code

High School Graduation Date*

College Graduate?*

Yes

College Name*

College Degree/Major*

College Address*

Street Address Address Line 2 City State ZIP Code

College Date From:*

College Date To:*

Recent EMS Experience (showing a minimum of two years)

Please attach a copy of your most recent EMT License*

Max. file size: 60 MB.

Employer*

Employer Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position*

Employed from:*

To:*

Other Recent EMS Experience if Applicable

Employer

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position

Employed from:

To:

Other Work Experience

Employer

Employer Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position

Employed from:

To:

Community Involvement

Organization Name

Organizations Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position

From:

To:

Duties

Organization Name

Organizations Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Position

From:

To:

Duties

Paramedic Program Information

At which school are you currently enrolled in a paramedic program:*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Course Instructor*

Proof of Enrollment*

Max. file size: 60 MB.

Financial Need

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

What other sources of financial aid have you secured?*

What is the dollar amount of that financial aid?*

Are your program expenses paid for by your employer?*

Professional Reference & Letter of Recommendation

Name*

First Last

Relationship to you*

Letter of recommendation (attach file)*

Max. file size: 60 MB.

Essay (500 words) answering the question “Why do you want to be a paramedic and why do you feel you should you be awarded the Christopher Meadows Memorial Paramedic 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