NORTH CAROLINA STATE FIREMEN’S ASSOCIATION Career ... · Resume and Transcripts - Section VII...

NORTH CAROLINA STATE FIREMEN’S ASSOCIATION

Career Firefighter Scholarship

North Carolina State Firemen's Association 323 West Jones Street

Suite 401 Raleigh, NC 27603

Scholarship Overview The North Carolina State Firemen’s Association (NCSFA) will sponsor the following scholarships in the listed amounts for each of the three regions in the state. These regions will be the East, Piedmont, and West. Four categories of scholarships will be awarded in each region for a total of $62,000.00 per region ($186,000 statewide). Career Firefighter Two $6,000.00 scholarships will be awarded in each region for those attending a regionally accredited four-year college/university. Two $2,000.00 scholarships will be awarded in each region for those attending a regionally accredited two-year college/university. Overview of Scholarship Rules The NCSFA Scholarship Administration Policies direct all aspects of the NCSFA Scholarship Program. Rule excerpts below are not comprehensive and are intended only as an overview of the program. The NCSFA Scholarship Administration Policies apply to all scholarships that are sponsored by the NCSFA or any other related organization that sponsors scholarships through the NCSFA. All awardees must be a member of the North Carolina State Firemen’s Association or a family member (son or daughter) of the NCSFA at the time of submission of the application. This will be verified by looking at the current roster of the department submitted in January of the year of the application. All required information shall be filled out on the scholarship application form. If any application is found to be deficient it shall be disqualified from the process. All applicants who are awarded a scholarship must attend a regionally accredited college/university that is recognized by the US Department of Education. No applicant can submit an application for more than one region of the state. The scholarship regions shall align with the same boundaries as the NCSFA boundaries and will include the East, Piedmont, and West. Any applicant found to have applied in more than one region shall have both scholarship applications removed from consideration. All applications will only be graded on the criteria as submitted on the application. No other factors shall be considered and the selected members of the scholarship review committee will independently review all information submitted on the application.

Specifics for Scholarship Category

Career Firefighter Only current paid firefighters who receive compensation for and are employed as a firefighter can apply for a scholarship in this category.

Compensation will be determined by the status that is listed on the current NCSFA roster that is submitted in January of each year. NCSFA will also check applicants to see if their names appear on more than one fire department roster. A paid firefighter who is also a volunteer can only apply for the paid firefighter scholarship. Any paid firefighter who applies for a volunteer scholarship shall have all applications removed from consideration. All awarded paid firefighter scholarships will be given to those students who are attending and majoring in a field that is considered related to fire and emergency services.

Application Process Instructions Electronic submission will not be accepted. All submissions must be received by US mail or other courier (FedEx, UPS, etc.) Application packages must contain all required documentation. Those missing the required documentation will be disqualified. An individual may only apply for one scholarship. Send your completed submissions to: North Carolina State Firemen’s Association Attn. Scholarship Coordinator 323 West Jones Street Raleigh, NC 27603

Applications must be post marked or show proof of shipping by March 15, 2015 at 5:00 p.m.

Table of Contents

Include this checklist at the front of the application.

Certification Points - Section III

Applicant Information. Please complete all boxes.

Pre-Qualification Questions - Section I

Applicant Information - Section II

Mid-Level Certification Points - Section IV

Applicant participated in a Fire Department. Total Points Claimed:

Total Points Claimed:

Pre‐Qualification Questions for the Career Firefighter Scholarship.

The North Carolina State Firemen's

Association

Application Submittal Checklist

Career Firefighter ApplicationThis scholarship opportunity is open to any member of the North Carolina State Firemen’s Association

(NCSFA) who is a Full Time firefighter working at least 1000 hours annually. The applicant must attend an

institution that is regionally accredited by an accrediting body recognized by the US Department of

Education and plans on majoring in a field directly related to the fire service. These degrees include

Business Administration, Public Administration, Emergency Management, Fire Engineering, Fire Protection,

and Fire Investigation.

Applicant Name:

Type of Degree:

Region:

Applicant participated in a Fire Department.

Upper Level Certification Points - Section V

Applicant participated in a Fire Department. Total Points Claimed:

STAFF USE ONLY

Total Points:

NCSFA Scholarship Application, Career Firefighter -- Page1

Career Firefighter Application

Certificates/documents verifying certification points.

Certificates/documents verifying mid‐level certification points.

Certificates/documents verifying upper level certification points.

Fire Chief Signature Required.

Fire Chief Statement - Section VI

Resume included.

OSFM Transcript.

Resume and Transcripts - Section VII

NCSFA Scholarship Application, Career Firefighter -- Page 2


Years:

3) Which type of degree are you seeking?

Pre-Qualification Questions - Section I

1) Are you an active firefighter?

Yes, continue to question 2 No, applicant is not eligible

Department:

2) Please enter the name of your organization and list your years of service.

4) Please select the region where the county of your fire department is located. A list of the counties by

region is below.

NCSFA Scholarship Application, Career Firefigher -- Page 3


First: MI:

Day Year

State: Zip:

Date of Birth:

Applicant Information - Section II

Name:Last:

Have you ever been convicted of, plead no contest, prayer for judgment, or other similar judgments for a

criminal misdemeanor, or felony? If yes, explain (Attach another sheet if needed).

Email Address

Month

Social Security # (last 4 digits only):

Current Mailing Address:

City:



1 point

1 point

1 point

1 point

1 point

Medical Responder or EMT (NC OEMS)

Driver Operator ‐ EVD

Total Certification Points:

Certifications - Section IIITo receive credit for Section III, certifications that are completed will be counted. A transcript from the

Office of State Fire Marshal (OSFM) (http://osfmweb.ncdoi.net/public/Student.html) or other applicable

certificate(s) / transcript(s) must be attached. There is a maximum of 5 points for this area.

Firefighter I and II

Hazardous Materials Operations (Level I)

Technical Rescuer General and VMR



2 points

2 points

2 points

2 points

2 points

2 points

2 points

2 points

Mid-Level Certifications - Section IV

Fire Officer (Level I)

Fire Officer (Level II)

Chief 101

To receive credit for Section IV, certifications that are completed will be counted. A transcript from the



Total Mid-Level Certification Points:

Hazardous Materials Technician (Level II)

Technical Rescuer Ropes

Driver Operator ‐ Pumps

Driver Operator ‐ Aerials

Fire Instructor (Level I)



3 points

3 points

3 points

3 points

3 points

3 points

3 points

3 points

To receive credit for Section V, certifications that are completed will be counted. A transcript from the



CPSE Chief Fire Officer Designation

CPSE Chief Training Officer Designation

Total Upper Level Certification Points:

Upper Level Certifications - Section V

Fire Instructor (Level II)

Fire Officer (Level III)

NCSFA Advanced Firefighter Designation

NCAFC Executive Development Course

CPSE Fire Officer Designation

NFA Executive Fire Officer Program



1 NameAddressCity State ZipE-mail Phone

NOTE: The Chief's statement shall be from the President of the Board of Directors or the City/Town

Manager if the Fire Chief is the applicant.

I certify that __________________________________________________________________

is a member in good standing with the _______________________________________Fire

Department and he/she works more than 1,000 hours per year with my fire department or a

combination of several fire departments, and is provided a wage or salary for their service. In

addition, I support this person’s scholarship application based on the firefighter’s moral and

ethical characteristics, service to their community, and the State of North Carolina.

______________________________________ __________________________________

Fire Chief Signature Date

Years Known

Fire Chief Statement - Section VI

Fire Chief Signature Required.



Attach certificates/documents verifying points claimed in Section III (Certifications).

Attach certificates/documents verifying points claimed in Section V (Upper Level Certifications).

Additional Information:

Resume and Transcripts - Section VII

Attach resume.

Attach OSFM Transcript.

Attach certificates/documents verifying points claimed in Section IV (Mid‐Level Certifications).


NORTH CAROLINA STATE FIREMEN’S ASSOCIATION Career ... · Resume and Transcripts - Section VII...

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