NORTHERN CALIFORNIA EMS, INC.

930 Executive Way Suite 150, Redding, CA96002-0635
Phone: (530) 229-3979Fax: (530) 229-3984

MEMORANDUM

To:Emergency Medical Services Constituency Groups & Interested Parties

From:Carl Lindberg Memorial Scholarship Committee

Date:TODAY

Subject:Scholarship Applications and Information

Since the 1970s, Nor-Cal EMS has awarded Carl Lindberg Memorial Scholarships to many outstanding members of the EMS community, helping make it possible to obtain costly advanced training. We are pleased to announce that one or more scholarships will once again be awarded to persons in the region seeking training to become an EMR, EMT, AEMT, Paramedic, or Mobile Intensive Care Nurse.

Although the amount is not yet set, each scholarship is typically several hundred dollars. The funds may be used to help defray the costs of tuition, books, supplies, travel for class and internships, and other related expenses.

Complete information and the application form are available on the Nor-Cal EMS website at Those without Internet access may contact our office to have these faxed or mailed to them. Those interested in receiving one of these scholarships must return a completed application no later than 5:00 P.M. on the first Friday in March of each year.

We look forward to recognizing more of the very special men and women who contribute so much to quality emergency care in northeastern California, and appreciate your support.

For those who might like to contribute to the scholarship fund, a donation form is included with this package.

Thank you.

Attachments (1)

F:\Carl Lindberg Scholarship\Carl_Lindberg_Memorial_Scholarship.doc

Northern California EMS, Inc.CARL LINDBERG MEMORIAL SCHOLARSHIP APPLICATION

This form may be copied and distributed freely. Photocopied applications are welcome.

FIRST NAME:LAST NAME: M.I.

ADDRESS:

CITY & ZIP:

DAYTIME PHONE(S):

COUNTY:

EMS SERVICE OR FACILITY:

OCCUPATION: GROSS ANUAL INCOME:

DESCRIBE YOUR EMS EXPERIENCE IN THE NOR-CAL REGION (BOTH VOLUNTEER AND PAID):

HOW WOULD YOU USE THIS SCHOLARSHIP?

HOW WOULD YOUR RECIEPT OF A SCHOLARSHIP CONTRIBUTE TO QUALITY EMS IN YOUR AREA?

Additional pages may be added if necessary

Please include three letters of recommendation and a photograph.

This application must reach our office by end of the first week in March.

(Please see other side for application requirements)

Nor-Cal EMS
930 Executive Way – Suite 150

Redding, CA 96002

For more information call 530-229-3979

F:\Carl Lindberg Scholarship\Carl_Lindberg_Memorial_Scholarship.doc

Carl Lindberg Memorial Scholarship

Application Requirements

  1. The applicant must be an employee or volunteer of a rural EMS organization (i.e. ambulance, fire rescue, or hospital)
  2. The applicant must be a resident of a county contracting with Northern California EMS
  3. The applicant must demonstrate a need for financial assistance in continuing his or her education in a field related to rural emergency care
  4. The applicant must provide three letters of reference
  5. A photograph is requested with each application submitted
  6. The applicant must agree to an interview by the selection committee after screening of applications
  7. The applicant must be enrolled in, accepted to, or actively pursuing acceptance to an EMR, EMT, AEMT, Paramedic, or MICN course.

Applications must be received by Nor-Cal EMS no later than 5:00 P.M. on the first Friday of March each year.

F:\Carl Lindberg Scholarship\Carl_Lindberg_Memorial_Scholarship.doc

The Carl Lindberg Memorial Scholarship

Benefiting those in the Nor-Cal EMS area expanding their EMS skills

The Carl Lindberg Memorial Scholarship fund was established in the 1970’s in honor of the first director of the Northern California EMS agency. Scholarships are awarded annually to members of the Nor-Cal EMS system who are pursuing studies as EMRs, EMTs, AEMTs, Paramedics, or Mobile Intensive Care Nurses. Recipients must live in a county contracting with Northern California EMS, Inc.

Recipients typically have made exceptional contributions and personal sacrifices in the EMS field for many years, often as volunteers. The scholarships are used to help defray the costs of tuition, books, and the extensive travel often necessary to complete advanced training and internships. In many cases, these people receive no other financial assistance or compensation.

Scholarships are funded by investment dividends paid each year on the scholarship fund. All contributions go directly to help provide more substantial and numerous awards to this extraordinarily deserving group of men and women. Because contributions are added to the fund’s principal, each will continue to support improved emergency medical care in northeastern California for years to come.

The scholarship fund is administered by Northern California EMS, Inc., a 501(c)(3) nonprofit public benefit corporation. All contributions are tax deductible.

Carl Lindberg Memorial Scholarship Fund

c/o Northern California Emergency Medical Services

930 Executive Way – Suite 150 – Redding, CA 96002

(530)229-3979

For more information call 530-229-3979

Enclosed is my contribution to the Carl Lindberg Memorial Scholarship Fund in the amount of:

$25$50 $75 $100 $

Name:

Address:

City/State/Zip:

Telephone:  Please keep my contribution anonymous

F:\Carl Lindberg Scholarship\Carl_Lindberg_Memorial_Scholarship.doc