ATPE Region IV Scholarship Application
Association of Texas Professional Educators
Region IV
2011 Scholarship Information
Region IV Association of Texas Professional Educators awards scholarships on an annual basis to members, professional and associate, who are pursuing an education degree, a graduate degree in education, or attending an education workshop. The scholarship monies, up to $1,000, may be applied toward the cost of tuition, fees, books or the workshop. The Scholarship Award was established to honor and reward distinguished, dedicated educators that wish to continue pursuing educational excellence.
Award Criteria:
1. Applicant must be an ATPE member within the Region IV area.
2. Applicants must use the 2011 ATPE Region IV Scholarship Application.
3. Application should be typed or printed clearly using black ink.
4. A degree in the field of education is being pursued or an education workshop will be attended.
5. Provide a personal statement in the space provided. Why is the scholarship desired?
6. Two letters of recommendation from administrators or co-workers are required and must be submitted with the application.
7. Applicants can not be winners of a 2010 ATPE Region IV Scholarship.
8. Completed application, including personal statement, must be postmarked no later than midnight Monday, February 28, 2011.
Selection Process:
1. Applications must be postmarked no later than midnight February 28, 2011. The committee will not consider late, incomplete, or illegible submissions.
2. The Scholarship Selection Committee members will review the applications.
3. The scholarship winners will be announced at the Region IV Spring meeting.
4. The scholarship monies will be awarded upon receipt of proof of completion by the Region IV Treasurer. Upon completion of course or in-service, a transcript or a certificate of completion must be submitted to the Region IV ATPE Treasurer. This scholarship must be used between June 1, 2011 and May 31, 2011.
Mail completed application, including personal statement and letters of recommendation to:
Region IV ATPE Scholarship
c/o Teresa Toliver, Chairperson
10500 Fountainlake Dr. #1327
Stafford, Texas 77477
For questions contact Teresa Toliver at
Midnight Monday, February 28, 2011.
2011 ATPE Region IV
Member Scholarship Application
(Type or print clearly using black ink.)
Personal Information:
NAME: ____________________________
ATPE Local Unit: _______________
How long have you been a member? ________
Please Check One:
Professional Member ______ Associate Member _____________
Home Address: _____________________________________
City, State & Zip: ____________________________________
Home Telephone: ___________ Home Email: ____________________
Employment Information: School District: __________________
How Long? ______ Telephone: _____________
Current Position/Campus:______________________
School E-mail________________________________
Previous Positions: Place, Position, Years
______________________________________________
Highest Degree Held: ______________________________
Degree/Certification Sought: ________________________
University/Location: ______________________________
or
Workshop Title: __________________________________
Location: _______________________________________
I assert that all information included on this application is true and accurate:
Applicant Signature: ______________________Date: _____________
All applicants will receive consideration for the ATPE Region IV Scholarship without regard to sex, race, color, national origin or ancestry, religion, age, handicap, or marital status.
2011 ATPE Scholarship Application
Data Collection Sheet
Type or print clearly using black ink. Only list information pertaining to the last three (3) years.
Applicant: ______________________________
ATPE Involvement Local, Region,
or State Level? Year(s)
Honors and Awards Explain Year
School Activities/Responsibilities Explanation if Needed
Community Activities Explanation if Needed
ATPE Region IV Scholarship Application
Personal Statement
Applicant: _______________________________________
Instructions: In the space provided, make a personal statement either about the impact that education has had on your life thus far and tell about the vision you hold for your future based on your education journey or describe how the awarding of this scholarship will help you become a better educator. Type/wordprocess or print clearly using black ink. Illegible entries will not be considered. Use the space below for your personal statement.
Applicant Signature: ________________________Date: ____________
Print Name: ______________________________________________