TAEMSE Scholarship Submission Form

TAEMSE Scholarship Submission Form
Submission Type*

Student SchollarshipFaculty/Instructor Schollarship
The goal of the TAEMSE Summit Scholarship is to empower educators to speak on behalf of the students they know are facing true hardships that would really benefit from financial help. This help could range from helping with buying a stethoscope, helping with tuition, helping with educational supplies, and beyond.

The educator/instructor submits on behalf of the student because "you know your student's situation". In this approach, as the educator, you are vouching for the validity of the student's true needs.

Please fill out the information below and your submission will be reviewed. You must be a registered attendee at the summit to submit. You do not have to be present during the announcement which is planned for Saturday afternoon of Summit.

Awards will be paid directly to the program or in a manner that ensures the need is met based on the request.

Any changes in enrollment or status will result in either refund to TAEMSE or forfeiture of the scholarship.
Faculty scholarhsip is intended to support the higher education of our EMS Education personnel (associates, bachelors, NAEMSE Instructor, etc.). This scholarship money can be used toward tuition for your degree program or similar. The program must be aligned with your role as an EMS Educator or the EMS Profession in general.

The winners are selected by random drawing. The payment may be made directly to the education institution or reimbursed to the awardee if the original invoice was issued in the last 30 days. The scholarship may be held in escrow for up to 365 days from the date of award.
STUDENT SCHOLARHSIP
Educator's Name*
School/Program*
City*
Educator's Cell Number*
Email*

Confirmation Emailexample@example.com
Student Name*
Program Enrolled (or future enrollment)*
Request Reasoning / Situation*
Amount Requested ($)*
I attest the information above is true to the best of my knowledge and pledge the student's best interest in the foundation of this submission. *

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FACULTY / INSTRUCTOR SCHOLARSHIP
Name*
Email*
example@example.com
Cell Phone*
Please enter a valid phone number.
Education Program you are Faculty / Instructor with*
Higher Education Program you are Enrolled in*
Description of the program*
I attest the information above is accurate to the best of my knowledge.*

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TAEMSE Scholarship Submission Form

STUDENT SCHOLARHSIP

FACULTY / INSTRUCTOR SCHOLARSHIP