Hall of Fame
The applicant must provide the KFA with a copy of the letter of acceptance from the institution you will be attending. Is the letter attached?
List the name of the institution:
List the name of the degree program you are enrolling:
List your major:
In the space provided below provide past employment history beginning with the most recent:
In the space provided below provide details of your present Emergency Services Experience.
If you are currently a firefighter attach a copy of your current training record from the Fire Commission. Is the copy attached?
If you should be successful in securing a KFA Scholarship you must intend to serve in a Kentucky based emergency service upon completion of your Education. In the space provided explain how and where you plan to serve. If you do not plan to serve in Kentucky explain why.
In the space provided explain why you need or deserve a KFA scholarship.
To qualify for this scholarship the applicant must be affiliated with a dues paying member department of the KFA. The department administration must provide a letter confirming your affiliation with the department. The letter may also contain a recommendation for you to receive the scholarship but it is not required. Is the letter attached?
List the name of the affiliated department.
In the space provided below list any other scholarships or grants awarded to you. List the amount of the award and for the length of the award.
Attach three (3) letters of recommendation.
Are the letters attached?
Attach an official high school or secondary education grade transcript (if applicable). Is the transcript attached?
If not why?
Name of the institution providing the transcript?
Instructions: When you’ve completed this application, print a copy for your records and submit the form by clicking the Submit Button below.
You may send your application via US mail; however, we recommend using the online form.
114 Oak Street
Campbellsville KY 42718
For questions call 270-789-1533
Wait 30 Seconds for a thank you response after clicking submit.
Thank you for your submission to the KFA.