APPLICATION FOR WISCONSIN STATE FIREFIGHTER’S
ASSOCIATION SCHOLARSHIP

QUALIFICATION REQUIREMENTS:

(Qualifications Listed Below Are Very Important or Could Be Disqualified)

1. This scholarship is open to anyone that is interested in continuing their education in the fire service, whether a member of the Wisconsin State Firefighter Association (WSFA) or not. However, priority will be given
   first to those applications that are members of the WSFA in good standing.
2. The candidate must have a high school diploma or equivalency to be eligible and must plan to begin his or her first year of college or vocational training in the field of firefighting in the fall immediately following award of the scholarship.
3. The candidate must have maintained a “C+”(2.5) or better grade point average. Preference will be given to students who have financial need, and who have not received many other scholarships.
4. An update or progress report will be required from each winning applicant following the completion of the first year of schooling. Failure to receive a progress report will disqualify the applicant from receiving future scholarships to further their education.
5. Applications can be downloaded here or by calling (800)588-2989
   and an application will be mailed to you.
6. Application must be received by February 1 of each year to be considered.

TO BE COMPLETED BY APPLICANT

Please fill out the application and include a current photo of yourself.  PLEASE PRINT

NAME_______________________________________   DATE OF BIRTH:______________
ADDRESS___________________________________________________________________
COUNTY:__________________________   TELEPHONE NUMBER:___________________
NAME OF PARENT/MEMBER OF WSFA:_________________________________________
NAME OF SPONSORING FIRE DEPARTMENT:____________________________________
HIGH SCHOOL ATTENDED:____________________________________________________
DATE OF GRADUATION:__________________HIGH SCHOOL G.P.A._________________
FIRST CHOICE COLLEGE/TECHNICAL SCHOOL:__________________________________
SECOND CHOICE:_____________________________________________________________
WILL YOU LIVE AT HOME OR ON CAMPUS:______________________________________

IF YOU ARE A CURRENT MEMBER OF THE FIRE DEPARTMENT WILL YOU CONTINUE AS AN ACTIVE MEMBER DURING SCHOOL?
YES______________________   NO____________________
Applicant Name:_________________________________________________________________                         
PLEASE LIST YOUR ACCOMPLISHMENTS, INERESTS AND SCHOOL ACTIVITIES

PLEASE LIST YOUR WORK EXPERIENCE FROM MOST CURRENT:

SHORT SUMMARY OF YOUR EDUCATIONAL GOALS:____________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

SHORT SUMMARY OF WHY YOU HAVE CHOSEN THE FIELD OF FIREFIGHTING:

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Applicant Name_______________________________________                   

ON A SEPARATE SHEET OF PAPER DESCRIBE THE REASON YOU ARE ENTERING A CAREER IN FIRE SCIENCE.  (500 WORDS OR LESS)

SIGNATURE OF APPLICANT:_________________________________________________

SIGNATURE OF PARENT/GUARDIAN:_________________________________________

SIGNATURE OF FIRE CHIEF:_________________________________________________

NAME OF SPONSORING FIRE DEPARTMENT AND ADDRESS:

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

TO BE COMPLETED BY HIGH SCHOOL COUNSELOR/PRINCIPAL

PLEASE COMPLETE THE FOLLOWING:              
PLEASE PRINT

NAME OF SCHOOL;___________________________________________________________

HOW MANY GRADUATING STUDENTS:_________________________________________

APPLICANT’S RANK:__________________________________________________________

APPLICANTS GRADE POINT AVERAGE:_________________________________________

COMMENTS REGARDING THE APPLICANT:_____________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

____________________________________________________________________________

__________________________________________________               ____________________

      SIGNATURE OF PRINCIPAL/COUNSELOR                                                             DATE

Return to Wisconsin State Firefighters Association, PO Box 126, Durand, WI  54736-0126