| 
         Homer
        F. Weston Memorial Scholarship Scholarship Application Please
        type or print:  Name:    
        ____________________________________________________________________ Address:
           ___________________________________________________________________  Phone
        #:    
        ___________________________________________________________________  CFD/CFFA
        Present or Past Members Name:  
        _____________________________________  Years
        and Time of Service in the CFD/CFFA:   
        ____________________________________ ACADEMIC
        INFORMATIO  Type
        of  Program in which you are
        presently enrolled for the upcoming year (circle one):   
                       Graduate                 
        Bachelor               
        Associate              
        Technical Planned
        Field of Study:   _______________________________________________________ Enrolled
        (circle one):             
        Full Time              
        Part Time Name
        of School/University Attending:   
        ___________________________________________ Name
        of Technical School:    
        ____________________________________________________ List
        any Civic Groups, Organizations,  Extracurricular
        Activities, Volunteer Work, etc. _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ _____________________________________________________________________________________________ REQUIRED
        APPLICATION DOCUME (These
        may be attached to your application or mailed separately) A.  
        An official transcript or letter from a school official from the
        most recent Institution attended B.  
        A Statement of Interest of 400 words or less including: ·       
        Why
        you desire the Homer F. Weston Memorial Scholarship ·       
        Your
        personal, educational, and career goals  ·       
        A
        list of extracurricular, community and/or volunteer activities. 
        Include dates of participation and a brief description of each
        activity.  You may provide
        an explanation for lack of involvement under special circumstances. 
        Special circumstances include financial hardship, family
        responsibilities, etc.   ·       
        Any
        other information you want the Committee to consider C.  
        Two letters of recommendation:           
         · One letter should be from a teacher, employer, or member of the community familiar with you and your goals. The other letter should be from a member or past member of the Carver Fire Department. If it is not possible to provide a letter from a member of the fire service, please attach an explanation. I
        certify that all of the information contained in this application and
        attachments is accurate. I
        understand that the Carver Firefighters Association may verify all
        information that I have provided as part of my application for this
        scholarship. ________________________________________      
                 ________________________ Signature                                                                               
        Date | 
Questions or comments can be sent to [email protected]
Last updated Sunday, April 23, 2006 03:15 PM