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Robert E. White Memorial Scholarship Application
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Applicant Name (or contact person for non-profit organization)
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Are you a VFCA Member? You must be a VFCA member to apply for the scholarship!
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Date of Birth
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Firefighter Name (applicant or applicant's parent/spouse)
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How are you related to this firefighter?
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Address
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Department Name
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Department Chief
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Course/Class/Seminar/Program Information (include title)
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Dates
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Location
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Contact Name
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Phone
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Please attach a statement indicating your background, educational goals, why you believe this educational program will be useful to you & why you are applying for financial assistance.
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Itemize any direct costs which can include: registration, travel, meals, books, tuition, lodging & transportation.
Please upload any other information that you think would be important for our scholarship review team.
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