2015 - SCHOLARSHIP APPLICATION
____Child of Member
Number, Street, City, State, Zip Code
Area Code plus
Area Code plus Number
Parentís Name if
transcript from the educational facility must be submitted.
AWARD WINNERS WILL BE CHOSEN AT THE SEPTEMBER EXECUTIVE
NOTIFICATION TO THE HONOREES WILL BE MADE
SHORTLY AFTER THIS MEETING WITH AN INVITATION TO ATTEND A
GENERAL MEMBERSHIP MEETING.
Applications must be postmarked or received by August 1, 2015.
All information must be typed or printed in black ink..
Applicantís name and address must be on the top of each page
submitted or highlighted.
The applicant and/or parent of
applicant must be an active member application of the Nassau
County Firemenís Association (NCFA) with dues paid through the
year of the scholarship request. Dues must have been paid by the
May General Membership meeting.
If the applicant is a member
of a Fire Department, he must also be a member of the NCFA and
cannot submit an application based only on a parentís
affiliation with the NCFA. An application can be submitted for
Only undergraduate students will be eligible
with a minimum of 16 credits for the Fall Semester.
Bursarís statement must be submitted indicating payment was
made. This can be submitted after the Scholarship is announced
however, no award will be made until the Bursarís statement is
received. In the event that the Bursarís statement is not
received by the October General Membership meeting of the year
submitted, the award will be cancelled for that applicant.
transcript from the educational facility for the four years of
high school or all college years must be submitted. If you
attended different high schools and/or colleges, then multiple
transcripts for each institution must be submitted.
applicant can win only one award per calendar year but, can win
an award in consecutive years.
At least two Awards will be
granted: one for a member, one for the child of a member.
applicant must submit a one page essay explaining: ďWhy do we
need Volunteer Firefighters?Ē
On a separate page:
and explain extracurricular activities performed for your
List and explain extracurricular activities performed
outside of school.
List and explain all employment
List 3 references including Name, Address and
Telephone Number for contact: School Official/Educator,
Employment Supervisor and Relative/Friend. In the event that the
applicant is unemployed, then a second reference must be
obtained from a School Official/Educator. Please note telephone
calls to the references may be made.
Attach a letter of
recommendation from the Chief or Captain for the applicant or
the applicantís parent. In the event that the applicant checked
off ďBothĒ on the top of the page for consideration for either
award, then a letter from the Chief or Captain must be submitted
for both the applicant and the parent.
will not be returned and will be discarded.
become the property of the NCFA and the privacy of the
individual will be maintained.
The NCFA reserve the rights to
publish the names, essays and pictures of award winners.
item not covered in these guidelines will be ruled on by the
Scholarship Committee with all decisions being final.
send completed package to: Anthony Tripp, 63 Frost Pond Road,
Glen Cove, New York 11542.
Signature of Applicant
Signature of Parent/Guardian (if applicable)
LONG ISLAND DAY AT THE HOME HUDSON
SEPTEMBER 20, 2015
MAY 20, 2015