Monroe County EMS Association

Education Scholarship

Monroe County EMS Association Education Scholarship

In an effort to promote education in the field of Emergency Medicine, the Monroe County EMS Association is offering a Tuition Scholarship for courses leading to EMT or Paramedic Licensure from an accredited facility. Funds for this education scholarship are provided by the Monroe County EMS Association.

What is the Criteria?

This education scholarship shall be awarded to persons:

Committee appointed by the Monroe County EMS Association

What is the Amount?

How do I apply?

Monroe County EMS Association Education Scholarship

Attention: Monroe County EMS Association President

Monroe County EMS Base

901 Illinois Avenue

Waterloo, IL 62298

Where can I get an application?

Applications can be picked up at the Monroe County Ambulance garage 901 Illinois Avenue

Waterloo, IL. They can also be downloaded from http://www.mocoems.com/.

When Are Applications Due?

 

Applicant Contact Information:

Applicant's Name

_______________________________________________

*Applicant's Address

_______________________________________________

Applicant's Telephone

_______________________________________________

 

*Reminder: Proof of Monroe County Residency needs to be attached


 

EMS Program Information:

Name of Accredited Facility

_____________________________________________________

*Faculty Contact Name

_____________________________________________________

Faculty Contact Phone

_____________________________________________________

Course Description

_____________________________________________________

Program Location

_____________________________________________________

Start Date of Program

_____________________________________________________


 

*Reminder: Proof of Acceptance into Program needs to be attached


 

Recommendation:

Please have one person from the community (not a relative) write a letter of recommendation for you.

*Name of Person:

____________________________________________________

Telephone

____________________________________________________

 

*Reminder: The letter of recommendation needs to be attached


 

Applicant Background:

  • List current involvement in EMS, if any



 


 


 

  • List current or recent community/civic/volunteer involvement or activities along with dates

 


 


 

Scholarship Questions:

  • Why are you interested in pursuing a career in EMS?


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 

  • Why are you a deserving recipient of this scholarship?


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 


 

Certification:

I have completed this application myself and I certify that the statements made in this application are true, complete and correct to the best of my knowledge.


 

Signature & Date

____________________________________________       ________