Application Form

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Application for Scholarship

NOTE: Once your application is submitted below, please send these documents before the deadline of April 1, 2025.

A copy of your most recent transcript.
Two letters of recommendation from outside your immediate family.
A 250–500-word essay stating your goals for the future. How you anticipate meeting those goals. Plus, how have you personally been affected by the presence of 1st responders in your life and community. Do not include race, gender, age, or name in the essay.

Send documents to PO Box 363, Forsyth, MO 65653 or email: carterfamilyhero@gmail.com using only PDF documents.

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Name

First

Last

Birth Date

Street Address

City

State

Zip Code

Phone Number

Name of High School

Home School

GPA

College/University/Trade School Planning to Attend

Main Area of Study

Is a Parent or Guardian currently in Taney County Fire, EMS, or Commissioned Law Enforcement?

If Yes, Please list current employer.

Was Parent or Guardian killed or catastrophically injured in the line of duty?

If Yes, Please list Employer at time of incident.

AND Year of Incident

Volunteer Work #1: Name of Organization

Volunteer Work #1: Hours Worked

Volunteer Work #1: Date of Service

Volunteer Work #1: Tasks Performed

Volunteer Work #1: Supervisor or Contact and Phone Number for Verification

Volunteer Work #2: Name of Organization

Volunteer Work #2: Hours Worked

Volunteer Work #2: Date of Service

Volunteer Work #2: Tasks Performed

Volunteer Work #2: Supervisor or Contact and Phone Number for Verification

Volunteer Work #3: Name of Organization

Volunteer Work #3: Hours Worked

Volunteer Work #3: Date of Service

Volunteer Work #3: Tasks Performed

Volunteer Work #3: Supervisor or Contact and Phone Number for Verification

Comments or Questions

Which scholarship fund are you applying for?

Children of First Responder
Taney County Student

By providing a signature, the applicant states that this application has been completed truthfully and to the best of their knowledge.

Please Type Your Name Above for Your Signature.

Please send these documents separately via Regular Mail or Email Listed Above.

-> A copy of your most recent transcript. -> Two letters of recommendation from outside your immediate family. -> A 250–500-word essay stating your goals for the future. How you anticipate meeting those goals. Plus, how have you personally been affected by the presence of 1st responders in your life and community. Do not include race, gender, age, or name in the essay.

Application Form

Get in touch

Application for Scholarship

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