1. Your name
2. Your email
3. I have read the PSAP Leadership Scholarship Application on the previous page and understand, qualify, and wish to continue with the application process. —Please choose an option—YesNo
4. Do you have a minimum of 3 years experience in the emergency telecommunications field? —Please choose an option—YesNo
5. Do you agree to completing all coursework and requirements for the chosen course? —Please choose an option—YesNo
6. Do you understand and agree to the fact that this scholarship is a reimbursement-type grant? Which means you or your agency are responsible for the upfront costs and will be reimbursed only when completed? —Please choose an option—YesNo
7. To the best of your knowledge, has a member of your agency been the recipient of the PSAP Leadership Scholarship before? —Please choose an option—YesNoUnsure
8. Are you a previous recipient of the PSAP Leadership Scholarship? —Please choose an option—YesNo
9. I understand that incomplete or late applications will not be accepted. —Please choose an option—YesNo
10. What is your agency/department?
11. What is your title/position?
12. What is the best phone number to contact you at?
13. What is the name of the person in charge of your agency?
14. What is the head of your agency's email address?
15. What is the head of your agency's phone number?
16. How many years have you been at your current agency?
17. How many total years have you been in the emergency telecommunications field?
18. Which program will you be applying for if selected? —Please choose an option—Fitch & Associates CCMAPCO CPEOther
19. If other, please indicate which course.
Documentation 20. Please upload a current resume.
21. Please submit a letter of recommendation from the head of your agency. The letter should include how you stand out among your peers and any specific examples of your leadership abilities and potential. The letter must also indicate their support for your active participation in your chosen course. It should explicitly state that you have been given permission to participate in the various on-line activities as well as the on-site sessions as required by the chosen class.
22. Please upload a document describing in your own words (approximately 500 words) the reason you are applying for this scholarship. Include what you want to gain from the class you have chosen and how you will apply what you will learn.
23. Self Assessment Please upload a typed self assessment of your own leadership traits. When conducting your self evaluation think of the following; what are your strengths and areas of expertise? How do you stand out among your peers? Can you provide specific examples of your leadership abilities? How do you contribute to a team environment? How do you approach complex problems?
24. Contributions Please upload a typed document sharing and describing any commitments and contributions you have made. This can be both professionally and personally. Include any active membership to organizations, community involvement, involvement at your agency, etc.
25. Career Goals Please upload a document stating where you would like to be in terms of your career in 5 years and identify what contributions you would like to make to the Emergency Communications field in the future.
Thank You for Applying!
On behalf of the Massachusetts State 911 Department and the Massachusetts Communications Supervisors Association we congratulate you on taking steps towards advancing your career. Applications will be accepted until Monday, May 12, 2025 at 4:00 pm. Scholarship recipients will be announced at the MCSA Annual Meeting on June 18, 2025 at Galliford's Restaurant at the Southwick Zoo in Mendon. Please click submit below to complete your application.
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