William P. McCamey Scholarship Application
Illinois Association of Fire Protection Districts Foundation
Name
First Name
Last Name
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Daytime Phone
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Please provide specific information regarding what coursework you recently completed, including your grade, and what fire service coursework you are enrolled in for the current semester.
Please provide specific information regarding your fire service employment. Are you volunteer, paid on call, or full time? Is your employing fire department a member of the Illinois Association of Fire Protection Districts?
Please provide justification for the scholarship request. (i.e. proof of employment at a fire department that is a member of the Illinois Association of Fire Protection Districts).
By entering your initials, you confirm that the information entered is accurate and true
Submit
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