Eagle Fire Department Members Association, Inc.
Incorporated August, 2012
Eagle Fire Department Members Association Inc. Scholarship Program
The purpose of the Eagle Fire Department Scholarship is to award a scholarship to an
individual who meets the following criteria: is a graduating senior from an accredited
secondary school private school, or a recognized home school program, who will be attending
a college, university or technical school in pursuit of an advanced degree, preferably in, but
not limited to, the Protective Services (Law Enforcement, Fire Service, Emergency Medical
Service).
Applicant Requirements:

Must be a graduating High School Senior in 2015 who resides in the Eagle Fire
Department service area.

Must be a U.S. citizen

Complete and submit a scholarship award application

Submit official school transcript with GPA, official transcript of ACT and/or SAT score

Submit 3 letters of recommendation (No friends, family or relatives)

Submit completed essay

Provide proof of enrollment in College, University, or Technical School for minimum of
an Associate’s degree in the Protective Services field for the Fall semester of 2015
classes by August 1, 2015.
Recipient Selection:
A panel of two Association officers and one board Director from the Eagle Fire Department
Members Association Inc. will evaluate and review all applications and will provide the
Association membership with a non-binding recommendation of the top three candidates. The
members of the Eagle Fire Department Members Association Inc. will make the final decision on
the scholarship winner at the May 2015 business meeting. The recipient will be contacted the
following business day and the scholarship will be awarded at either an Honors Banquet or
graduation ceremony, whichever comes first.
Scholarship:
Amount of Scholarship: One (1) - $500 (More than one scholarship may be awarded in any
one year.)
Eagle Fire Department Members Association Inc. Scholarship 2015
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Eagle Fire Department Members Association Inc. Scholarship Program
Instructions & Requirements to Apply For the Scholarship

The applicant must complete the scholarship application. Application should be typed.

Attach a signed transcript reflecting GPA from the school counselor.

Attach a copy of ACT and/or SAT report/score.

Attach three written letters of recommendation.

Attach completed essay.
Prior to rendering a final decision, the Eagle Fire Department Members Association Inc. reserves
the right to:

Contact any and all references submitted by scholarship applicant.

Conduct a personal interview with scholarship applicant finalists.
Failure to complete any of the listed requirements will disqualify the applicant.
If chosen to receive the scholarship, proof of enrollment must be submitted to the Eagle Fire
Department by August 1, 2015. Failure to enroll by this date in a college, university or technical
school in an approved course of study leading to a degree will result in forfeiture of the
scholarship. Upon forfeiture, the scholarship will be awarded to the next runner up.
Scholarship funds will be paid to the recipient after completion of the first semester. Proof of
completion should be sent to the Eagle Fire Department Members Association Inc. at the address
below.
Deadline: Application and all documents must be returned by May 4, 2015 to:
U. S. Mail:
Eagle Fire Department Members Association Inc.
Attn. Lt. C. Roberts
126 E. Main St.
PO Box 478
Eagle, WI 53119
Or e-mail to: croberts@eaglefiredepartment.com
Contact: Lt. Chuck Roberts at 262-470-2520 with any additional questions.
Eagle Fire Department Members Association Inc. Scholarship 2015
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APPLICATION FOR EAGLE FIRE DEPARTMENT SCHOLARSHIP
Applicant’s Full Name
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Address
Telephone #
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Email Address
Date of Birth
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Name of High School graduating from
GPA
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Weighted ☐
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Or non ☐
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Class Rank
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Place of Employment
Position Held
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Number of Years
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Place of Employment
Position Held
Number of Years
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Class Size
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Parents/Guardians with whom you reside:
Name Click here to enter text.
Relationship Click here to enter text.
Name
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Relationship Click here to enter text.
Have you applied to a college, university or technical school?
Were you accepted?
(check one box)
Name of school attending
No ☐
(check one box)
No ☐
Yes☐
Yes☐
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Please provide a list of service groups, clubs, schools, church and/or community volunteer
activities, etc., which you have participated in during High School. Attach a separate sheet if
necessary.
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List any honors, awards, or certificates received from these or any other organizations.
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Essay: Eagle Fire Department Members Association Inc. Scholarship
In a minimum of 250 words and a maximum of 350 words, explain why you selected your field
of study and what the influencing factors were for this selection. The following items must be
incorporated into your essay. (Submission must be separate document using the following
page)
 You’re declared field of study.
 Why you selected this field of study.
 Qualities and skills you possess that will make you successful in your chosen field of
study.
 Describe your most meaningful achievements and how they relate to your chose field
and your future goals.
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WRITE YOUR ESSAY BELOW FOLLOWING THE DIRECTIONS PREVIOUSLY ON
PAGE 4 OF THIS APPLICATION:
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