For information purposes only
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William A. Laird Memorial Scholarship Application 2011 Name_________________________________________ First Application (Yes or No) ______ First Name Initial Last Name Address_______________________________________ City______________ Postal Code__________ Home phone (____) ______________ Name of qualified parent________________________________ Status of Parent: (Circle one) Active Retired Disabled Deceased Personal I.A.F.F. #________________How many in family________ Name of Parents_____________________________________________ List names and dates of birth of siblings: ______________________________ _____________________________ ______________________________ ______________________________ _____________________________ ______________________________ Academic Institution presently attending_______________________________ Year in school _______ Address_______________________________________ City______________ Postal Code_________ Post Secondary Institution you will be attending in 2011-12 __________________________________ Address_______________________________________ City______________ Postal Code__________ OR Fire College at which you completed NFPA Fire Fighter Level II _______________________________ Address_______________________________________ City______________ Postal Code__________ Please indicate how you anticipate covering your costs throughout the next school year or how you covered your costs to attend Fire College, i.e. part time work, family assistance and other scholarships or awards applied for or received. ____________________________________________________________________________________ ____________________________________________________________________________________
ALONG WITH THIS COMPLETED APPLICATION FORM PLEASE SUBMIT THE FOLLOWING ON SEPARATE PAGES Please indicate how you are involved in your community. Bill Laird embodied Community Service, and therefore this section will merit considerable recognition. A transcript of your marks A typed essay (not less than 1000 words) ON THE FOLLOWING TOPIC: A career as a fire fighter presents many challenges and opportunities on both a professional and personal level. Describe how being the son/daughter of a fire fighter has impacted you as an individual, your family life and what opinions would you offer children and parents based on your experiences? _________________________ _________________________ ___________________ i Signature of Parent Signature of Applicant Date of Application RETURN COMPLETED APPLICATIONS TO: United Fire Fighters of Winnipeg, 303-83 Garry Street, Winnipeg, Manitoba R3C 4J9 Attention: W.A. Laird Scholarship Committee. Fax 772-2531 This application must be returned to UFFW by, or postmarked on or before July 25, 2011. (Late entries will NOT be accepted.) |