NYSVARA SCHOLARSHIP – LETTER OF RECOMMENDATION

Must be received by September 10, 2026.

This form is for the agency Chief/Captain or President/Vice President (and, for Youth Squad applicants, the Youth Squad Advisor) to submit a letter of recommendation in support of a NYSVARA Scholarship applicant.

Applicant Name:*

Agency:*

Your Title:*
Chief
Captain
President
Vice President

Your Name:*

Your Phone:*

Your Email:*

Applicant is a Youth Squad member

Youth Squad Advisor's Name:*

For Youth Squad applicants, a separate letter of recommendation from the Youth Squad Advisor is also required — please submit it using this same form.

Letter of Recommendation:*

The goal of this letter is to learn about the applicant, their goals, abilities, accomplishments, and attributes. Limit: 2,000 words / 10,000 characters.

0 / 2000 words · 0 / 10000 characters

Certification

I am the title indicated above of the agency indicated above, an organization that is a member in good standing with The New York State Volunteer Ambulance & Rescue Association, Inc. I certify that the information provided in this letter of recommendation is accurate and truthful to the best of my knowledge, and that I am authorized to submit this letter on behalf of the applicant to the Scholarship Committee.

I certify the above statement is true.*

Signature (type your full name):*

Date: