General Scholarship Application

United in Blue Scholarship Application

The United in Blue Scholarship honors the children of first responders who are graduating high school seniors and pursuing higher education. Please complete this form. Must be a current high school senior and the child of an active, retired, or fallen first responder.
Name

First NameLast Name
Date of Birth

MonthDayYear
Date
Mobile Phone Number
Home Phone Number
E-mail
Enter E-mail Here
Address

Street Address

Apt/Unit #

CityState

Zip Code
Name of Parent (First Responder)
Tell us why you are deserving of this scholarship?
Upload Personal Essay

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If you are selected we will honor you at our "A Night In Blue" event.

You will received a $1000 check to go towards your education in the name of a fallen First Responder. You will be notified prior to our event October 18,2025.
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United in Blue Scholarship Application