GSEMA Training Scholarship Request Form

GSEMA Training Scholarship Request Form
This form is to request a scholarship for Outdoor Trainings, GSEMA's Wilderness First Aid, and HSI Pediatric First Aid/Adult, Child, Infant CPR-AED training.

Full or partial* scholarship is available.

*Any amount you can pay helps us stretch our adult scholarship budget further, but don't let cost keep you from taking the course you need in order to be the best volunteer you can be!

Scholarship funds for volunteers is a separate fund from financial aid for girls for programs.
Your Name*

First NameLast Name
City*
Email*
example@example.com
Phone Number
Please enter a valid phone number.
Name of Course Requesting a Scholarship For:*
Course Date*

MonthDayYear
Date
Course Location*
Amount that you can pay:*
If you are requesting full scholarship, put 0 in this box.
Once this form is submitted, we will review the request and get back to you about registration information.
Should be Empty: