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Virginia Fire Prevention Association
PO Box 244
Middletown, Virginia 22645-0244
888-668-VFPA (8372)
www.vfpa.org

Fall Scholarship

The VFPA presents the Fall Scholarship award which is available to all VFPA members and relatives of members who are actively pursuing a course of study at a college or university. This scholarship, awarded to three students for $500 each, will be presented at the Fall Conference. The winners do not need to be present and will be notified by mail.

The scholarship winners are chosen by lottery and the check will be made out to both the winner and the school. Please complete this application and submit it by 2359 hours (11:59 PM)October 15, 2011.

Name


Address


City
State
Zip

Telephone


Name of college or university


Address


City
State
Zip

Anticipated year of graduation


Major
Degree

VFPA member? Yes  No

If No, how are you related to a VFPA member?


Member's name


Your Email: