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The Les Washbon – Junior Firefighter

Memorial Scholarship Application

Name*

Home Address*

Phone*

E-mail*

Birth Date*

Current Age*

Applicant Member Fire Company*

Number of Years as a Junior Firefighter*

Current School*

Current Grade Level*

Higher Education Degree Goal(s)*

College/Trade School Choice*

Fire Company Contact/Refrence*

How has being a JR FF has helped you grow as an individual?*

What are three key things that you have learned as a JR FF?*

Describe 3 characteristics that best describe you as an individual*

Long term plans after college? How will firefighting help reach your goals?*

Who or what has influenced you the most as a Junior Firefighter?*

Security Token