A Registered 501(c)3 Public Charity

Christopher Meadows EMT Scholarship Application

Personal Information

Full Name

Mailing Address

City

State

Zip

Phone Number

Your Email

Education

High School Graduate? Yes/No

Reference/Letters of Recommendation

Attach Resume

Personal Reference

Name

Relationship to you

Attach letter of recommendation

Professional Reference

Name

Relationship to you

Attach letter of recommendation


Essay

After reflecting on the background of Christopher Meadows, please write an essay in the space below (not to exceed 500 words) that answers the questions “Why do you want to be a paramedic, and why do you feel you should you be awarded the Christopher Meadows Paramedic Scholarship?”

Special Considerations/Hardships (200 words)

 

Declaration

By inputting your name below you certify that all the information provided in this application is accurate to the best of your ability.

Name

Date