Professional Development Scholarship Application – Dependent Fields marked with * are required. We are a nonprofit foundation committed to enriching the lives of our firefighters, their families, and our community by funding educational and innovative learning opportunities. Next scholarship application cycle closes on June 30, 2022. Today's date* MM slash DD slash YYYY Signature*I give permission to officials of my institution to release transcripts of my academic record and other information requested for consideration in the GVFF Professional Development Scholarship program. I understand that this application will be available only to qualified people who need to see it in the course of their duties. I affirm the information contained herein is true and accurate to the best of my knowledge.About youFull legal name* First Middle Initial Last Which GVFD employee are you related to and what is your relation?*Please provide us with the full name of the GVFD employee you are related to and your relation to them. Email* Home address* Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Do you have a different mailing address? Yes Mailing address(If different from home address) Street Address City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Home phone*Do you have a different phone? Yes Cell phone(If different from home phone)Date of birth* MM slash DD slash YYYY Age*What you're seekingType of scholarship requested*(Check all that apply.) College courses/advanced degrees Conferences/seminars Technology/books Technical training Other (defined below) OtherType of scholarship Dollar amount you're requesting from the Foundation*Name of college/institution currently enrolled* Current cumulative GPA* Your undergraduate major(s)* Number of college credits earned to date*Total number of credits required for graduation*Expected date to receive degree* MM slash DD slash YYYY Degree you will receive* Graduate degree(s) sought* Major(s)* More details about youDescribe one specific example of your leadership abilities and potential.*List awards, scholarships, publications or special recognitions you have received. List in descending order of significance.*List public service and community activities.*(Homeless services, environmental protection/conservation, advocacy activities, work with religious organizations, etc.) List in descending order of significance.What are the three most significant courses you have taken in preparation for your career/degree?*What do you hope to do or what position do you hope to have upon completing your studies? What about five to seven years later?*What additional personal information do you wish to share with the Green Valley Firefighters Foundation that is pertinent to this application?*File upload*Please upload any files you'd like to share here. Include any receipts or proof of payment as well as proof of successful course completion. Scholarships are reimbursements and the course must be completed at time of application submission. (Only PDF, DOC, DOCX, PNG, and JPG formats are accepted.) Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 15 MB.Additional Files Drop files here or Select files Accepted file types: pdf, jpg, jpeg, png, doc, docx, Max. file size: 15 MB, Max. files: 4. PhoneThis field is for validation purposes and should be left unchanged.
