The Responder Scholarship Application Name * First Name Last Name Date of Birth * MM DD YYYY Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * Country (###) ### #### Email * Current School, Training Program, or Employer * Program of Study or Certification Pursued * Expected Completion Date * MM DD YYYY Previous Emergency Services Training or Experience (if applicable) Which emergency services – related field are you pursuing? * How did you hear about this scholarship? Personal Statement * Please submit a 500–750 word essay covering: - Why they chose a career in emergency services. - How the scholarship will help them achieve their goals. - A specific example of when they made a difference in someone’s safety or well-being. Applicant Certification By typing my name below, I certify that all information provided in this application is complete and accurate to the best of my knowledge. I understand that providing false or misleading information will result in the disqualification of my application and, if selected, forfeiture of any scholarship award. I grant permission to DisasterDesk to use my name, likeness, and photograph in promotional materials, announcements, and other public communications related to this scholarship, should I be selected as a recipient. The DisasterDesk Responder Scholarship accepts applications all year long, giving you two chances to win each year. Send in your application at any time, and it will be reviewed for the next award cycle. To be considered for the spring award, submit your application by May 31, with winners announced on June 15. For the fall award, submit by November 15, with winners announced on December 1. If your application arrives after one of these deadlines, it will automatically roll over to be considered in the next cycle.
