Application

Thank you for applying for a scholarship from our foundation, so far we have given out 100+ scholarships in the amount of over $115,000. We’ve awarded patrollers from all over the country to further their education and performance on their mountains.

A minimum of 2 years as a member of a Professional Ski Patrol and currently working as a full-time ski patroller is required to apply.

Personal Information

First Name *

Middle Name

Last Name *

Email Address *

Phone *

Date of Birth *

Gender *MaleFemale

Current Address *

Apartment, suite, etc

City

State

ZIP / Postal Code

Premanent Address

Apartment, suite, etc

City

State

ZIP / Postal Code

Ski Patrol Information

Ski Patrol *What Ski Patrol are you currently a member of?

Patrol Director *Who is your Patrol Director?

Years *How many years have you been a full time Ski Patroller?

How did you hear about TCSJF and our Memorial Scholarship? *

Patrol Photo Upload *Please send us an image of you in your patrol uniform ( preferably without goggles )

No file chosen

Educational and Work History

Schools and TrainingTell us about your education starting with High School and any additional education or training

Institution Name *

Institution Address *City, State

Start Date *

End Date *

Degree Title

Area of Study

Employment HistoryList your most recent employment first

Employer *

Start Date *

End Date *

Position *Title or Role

Supervisor *Manager or Supervisor

Volunteer Health Care ExperiencesList any volunteer or community involvement experiences

Name *

Length of Experience *

Nature of Experience *

Essay

The essay portion of this application form is how we really get to know who you are as a person in our world today. It’s an important part of our selection process each year since we do not get the opportunity to meet in person, so please put some time into your essay and leave it all on paper. It would also be prudent for you to read about the Foundation and the work we do to support Ski Patrollers, who Cody was, and our current missions.

The length of the essay is at your discretion, just be sure
that you have given a complete response to the topic of your choice.

Please choose from one of the following topics for your essay:

While going through Cody’s belongings, Cody’s sister found a drawing he made, which now serves as the logo and mantra for his foundation. The drawing was of a tree with a heart at its base and he wrote, “Let Us Fortunate Ones Live the Good Life.” Write about what this statement means to you personally. Do you aspire to share this sort of philosophy with the world? How?
Those who were fortunate enough to know Cody St. John shared a love and admiration for him, because of the way that he lived his life was an inspiration to the rest of us. Who has inspired you
in your life and why? Did this person motivate you to become a Ski Patroller or pursue medical education? Elaborate.
Tell us about yourself: your past, your present, and your intentions for the future. What motivated you to join the Ski Patrol? What are your passions? Why is medical education important to you? What mark will you leave on those around you

Upload essay *Please include a Word, PDF or plain text document.

No file chosen

References

Letters of Recommendation and Personal References

List names, titles, and the affiliations of the three people whom you will ask to provide a personal reference. References should be from employers, college faculty, mentors, or others who you know on a professional or academic basis. If currently or recently employed, you should ask a supervisor for a reference.

One of these three people will need to provide a written recommendation on your behalf. Recommendations from family and friends are not acceptable.

Name *

Title *

Affiliation *

Phone *

Letter of RecommendationPlease submit a PDF or an image of the letter of recommendation

No file chosen

Scholarship Reward

Name *College, University, Institution

Street Address *

City *

State/Province *

ZIP / Postal Code *

Name of Program *Degree or Certification

Length of program *Timeline for program

Cost of Program *(Not including fees & books)

USD

Due Date for Tuition *

Complete your application

Scholarship recipients will be notified no later than March 15th
Scholarship recipients will be announced at the annual Cody’s Challenge in Steamboat Springs, CO
Please remember all payments are made directly to the college, university or institution.

In consideration of my application for a scholarship, I hereby grant permission to TCSJF, it’s employees, successors and assigns, to reproduce, display, publish and distribute, in whole or in part, the information and images provided by myself or taken by the staff or assigns of TCSJF including, without limitation, my name, biography and likeness (photographic or otherwise) in which I am featured and/or am pictured in. I also consent to such use: for website content and representation on www.codyschallenge.org and any other website operated by TCSJF.

Scholarship Applicant Signature *

Scholarship Applicant's Printed Name *

Date *