APPLICATION

Donald Wisinski Memorial Scholarship

This Scholarship shall be awarded annually to one member in good standing of the Northern California Fire Mechanics Association.

The scholarship award shall include CFMA tuition and textbooks approved by the Board of Directors of the California Fire Mechanics Academy, Inc. Transportation and housing costs are not included. All applications must be received by the NCFMA Executive Board no later than February 15, 2012. Late applications will not be accepted.

Section I: Personal Information

Name ________________________________________________

Address ________________________________________________

City _____________________ State _________ Zip ______________

Telephone ___________________ (work) __________________ (home)

E-mail ___________________

Highest Level of Education (HS/College/Other) ______________________________

Employment History

Agency/Company Position/Title From-To

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List all Mechanic Certifications Currently Held (ASE/EVT/Other)

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Section II: Personal Statement

Provide the NCFMA Board of Directors with any additional information you feel would help in making a decision about your application. Please include your personal goals, educational goals, career objectives and statement of financial need, if applicable. (Attach a separate sheet)

Section III: Letter of Recommendation

Provide the NCFMA Board of Directors with at least one professional letter of recommendation from your current employer outlining your qualifications, job responsibilities and experience.

Section IV: Review Process

All applications will be reviewed at the February meeting of the Northern California Fire Mechanics Association by the Board of Directors. The scholarship recipient will be personally notified no later than March 1, 2012 and will be introduced at the annual CFMA banquet.

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