SETTRAC Application For Educational Scholarship
Please allow 2 weeks for scholarship applications to be processed. For questions about scholarships, please call 281.822.4444.
*** Only 1 scholarship per applicant per fiscal year.
( Sept 1st - Aug 31st )
Requested Course
Course Requested
ABLS
ATCN
BTLS
PEPP
PHTLS
SLAM
ENPC
PALS
TNCC
Other - Please Specify Below ( No Conferences )
Other Course ( Must Be Approved By Grants Review Committee & No Conferences Will Be Funded )
If Other Couse Selected Above, Please Specify
About the Course
Date of Course ( ***Course must be completed between Sept 1st - Aug 31st )
Location Of Course
Cost Of Course (Applications without the cost entered
will not be accepted
)
About the Applicant
Name of Applicant(s)
Agency/Facility
Trauma Coordinator/EMS Director
Day Phone
E-Mail Address
Agency's/Facility's Mailing Address
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