2017 W.A. Laird Scholarship Application
May 18, 2017
To: All Members of Local 867
William A. Laird Memorial Sch0larship Application 2017
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 2017-18 __________________________
Address__________________________ City______________ Postal Code__________
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:
The International Association of Fire Fighters has recently opened its Centre of Excellence for Behavioral Health Treatment and Recovery. Located just outside of Washington, DC, this center is an in-patient residential facility exclusively for IAFF members to treat addictions and other co-occurring disorders, such as Post Traumatic Stress Injury. Explain how essential the facility is and how it will benefit firefighters in need of treatment.
______________________ __________________ ____________________
Date of Application Signature of Parent Signature of Applicant
RETURN COMPLETED APPLICATION TO:
United Fire Fighters of Winnipeg, 303-83 Garry Street, Winnipeg, Manitoba R3C 4J9
Attention: W.A. Laird Scholarship Committee. Fax 204-772-2531
This application must be returned to UFFW by, or postmarked on or before July 28, 2017. (Late entries will NOT be accepted)