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William A. Laird Memorial Scholarship Application 2010 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 2009-10 __________________________________ 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: Winnipeg Fire Fighters have a long history of community involvement. They have become leaders in their Profession while always helping the most vulnerable in society. Using both your personal experience and research, please discuss the importance of Fire Fighter community involvement
_________________________ _________________________ ___________________ 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 29, 2010. (Late entries will NOT be accepted.) |