Scholarship Application - Regional EMS Foundation - Helping Paramedics Save Lives

Scholarship Application

Looking for Project Funding?

This form is to apply for a SCHOLARSHIP. If you wish to apply for Project Funding, please use the Project Funding Application form.

Program of Study
* Start Date Choose a date from the Calendar
* Program Name
* School Name
* School City
Applicant Information
* First Name
* Last Name
* Address Line 1
Address Line 2
* City
* Province
* Postal Code
* Phone
* Email
Program of Study Details
* Goals What do you ultimately wish to achieve if you're awarded this scholarship?
* Community Involvement Describe your involvement in the community (e.g. volunteering, fundraising, etc.)
* Financial Impact Describe the cost of schooling for your program and how this scholarship will impact your financial situation.
Attachment(s) You may attach up to (2) supporting documents here if you wish (e.g. school fees, costs, etc.)
Accepted formats: Microsoft Word, PDF, PowerPoint and Excel. Max 2MB per file.



* Your Pitch Why do you feel you deserve this scholarship?