Diana Grzybowski Scholarship

Sponsored by the Chester Ambulance Association

The Chester Ambulance Association is offering a $1,000 scholarship in the memory of deceased Association founding member Diana Grzybowski. The scholarship is offered to any graduating student from Chester, Chester Hose Company member or child thereof, or any Chester resident entering an accredited school or continuing education program that prepares the person for professional practice in a health related field. Some career pursuits to be considered would include nursing, therapy, paramedic, social work and health administration.

Eligibility Requirements:

  1. Applicant must be a resident of the Town of Chester.
  2. Applicant must be accepted by an accredited school or continuing education program that prepares the person for professional practice in a health related field.
  3. Must have maintained good academic standing for their high school career.
  4. Have been active in community service.
  5. The scholarship committee may contact the applicant regarding an appointment for a personal interview.
  6. The applicant is to write a 250-500 word essay to clearly convey his or her thoughts on how the student merits, and would benefit from receiving anAmbulance Association scholarship.

By signing the scholarship application you agree to return funds in the event you no longer plan on entering accredited school or continuing education program that prepares the person for professional practice in a health related field.

Applications for the above scholarship are due to Chester Ambulance Association, P.O. Box 209, Chester, CT 06412 no later than May 1, 2014. Please email any questions .

Diana Grzybowski Scholarship

Application: Due May 1, 2014

General Information:

  1. Name of Applicant: ______
  1. Home Address: ______

Education:

  1. High school attended (include dates): ______

______

  1. Date of high school graduation: ______

______

  1. Grade point average: ______
  1. Rank in graduating class: ______
  1. Extra-curricular activities engaged in during high school or after or attach your resume:

______

______

  1. Community service activities engaged in during high school or after or attach your resume:______

______

  1. Work experience – most recent first or attach your resume: ______

______

  1. List names of two adult individuals who know you well enough to provide a character reference:______

______

  1. Write a brief 250-500 word essay outlining your personal goals and aspirations. Indicate how this scholarship would help you to achieve these objectives and why the Diana Grzybowski scholarship should invest in you.
  1. A letter of recommendation from a member of the school faculty or administration is required.

The applicant and his/her parents/guardians hereby authorize the release of his/her high school transcript to the scholarship committee; the applicant and his/her parents further permit the scholarship committee to verify any information and/or communicate with any person or employer set forth in this application.

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Applicants SignatureParent’s/Guardian’s Signature

(If under 18 years of age)

Scholarship

Health Care Related Field Award: The Chester Ambulance Association is offering a $1,000 scholarship in the memory of deceased Association founding member Diana Grzybowski. The scholarship is offered to any graduating student from Chester, Chester Hose Company member or child thereof, or any Chester resident entering an accredited school or continuing education program that prepares the person for professional practice in a health related field. Some career pursuits to be considered would include nursing, therapy, paramedic, social work and health administration. Applications may be obtained from the guidance departments of Valley Regional High School, Vinal TechnicalHigh School, Xavier High School, Mercy High School, Chester Town Office Building or the Town of Chester website. Applications are due to Chester Ambulance Association, P.O. Box 209, Chester, CT 06412 no later than May 1, 2014. Questions may be emailed to .