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__________

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:

1. Please indicate how you are involved in your community. Bill Laird embodied Community    Service, and therefore this section will merit considerable recognition.
2. A transcript of your marks.
3. 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)