AMS Diversity, Equity and Inclusion Scholarship Application

I. Personal Information
Scholarship Instructions

Applications for the DEI Scholarships are reviewed by AMS Community Engagement & Action Committee members.

Timeline

Please refer to the program webpage for deadlines and notification information.

Application Materials

Your application materials consist of:

Personal Statement
Financial Statement and supporting documents if requesting based on need.
Name*

First NameMiddle NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email*
example@example.com
Daytime Phone Number*

Area CodePhone Number
YesNo
If so, what year?
If so, what year and for what program?
Curriculum Coaching Academy (You must apply and be accepted to the program first to be considered by scholarship committee.)Instructor Academy (You must apply and be accepted to the program first to be considered by scholarship committee.)EC ReadingEC ScienceEL ReadingEL Writing
What is the start date of the program you wish to participate in?*
YesNoOther
Please explain:*

YesNo
If so, please specify which teacher education program:
II. Diversity, Equity, and Inclusion Demographic Information
AMS is committed to diversity, equity and inclusion. The mission of this scholarship is to help achieve the AMS Board strategic priority: AMS will model and ensure the advancement of principles of equity, diversity, and inclusion by creating an environment in which all feel welcomed, respected, valued, and empowered.

AMS does not deem the response to any question listed below more or less significant than any other response in the consideration of this application.

Please complete the following questions.
American Indigenous (including Hawaiian)AsianBlackHispanic/LatinxMultiracialPacific Islander (excluding Hawaiian)WhiteOther
FemaleMaleNonbinaryOther
CisgenderTransgenderOther
BisexualGayHeterosexualLesbianOther
YesNoOther
If you wish to elaborate on any of the responses above in Sections I-II, please do so here:

III. Personal Statement

In 200 words or less, please answer the following.
AMS believes in supporting the diversity of the Montessori community. Please share how you and/or your experiences would contribute to the diversity of the group.*

0/200
What do you hope to achieve through your participation in this program?*

0/200
Why are justice, equity, diversity, and inclusion important to you and how do you plan to implement this in your practice?*

0/200
How do you see yourself contributing to the AMS community in the future?*

0/200
Please upload your Personal Statement*

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IV. Financial Statement
YesNo
Please share more about your request for financial assistance.*

0/200
Please download and complete the Financial Statement Form below.

U.S. Applicants: Please attach a copy of pages 1 and 2 of your most recent IRS Form 1040 or 1040-A. If you used IRS 1040EZ, include only page 1. Important: For security purposes, be sure to black out your Social Security number before scanning.

International Applicants: Please include equivalent documentation of income. Please also provide financial information on the next pages in U.S. dollars and include the conversion rates at the time of your submission.
Please upload your completed Financial Statement*

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Please upload a signed and dated copy of your most recent tax return*

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V. Application Submission
Special consideration will be given to applicants who:
- are of color and/or from under-resourced populations, including LGBTQIA+ and developing nations
- are persons with disabilities
- are members of a protected class under State or Federal law
- show potential as a transformative leader that centers inclusion and equity for historically marginalized groups
- work in Montessori TEPs and/or schools serving racially diverse communities and/or under-resourced populations
Once you click the Submit button you will not be able to further edit your submission.

American Montessori Society Nondiscrimination Statement

The American Montessori Society does not discriminate on the basis of race, color, culture, sex, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, ancestry, national or ethnic origins, or any other legally protected status.
AMS websiteMontessori schoolMontessori teacher education programSocial mediaScholarship websitesOther
By signing here, I attest that all information provided in the Diversity, Equity & Inclusion Scholarship Application Form is true.*

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Today's Date*

MonthDayYear
Date
Should be Empty:

Rows	Credential Held	Issuing Organization	If Other - Please Specify
Infant & Toddler (0 – 3)
Early Childhood (2.5 – 6)
Elementary I (6 – 9)
Elementary II (9 – 12)
Elementary I – II (6 – 12)
Secondary I (12 – 15)
Secondary I-II (12 – 18)

I. Personal Information

II. Diversity, Equity, and Inclusion Demographic Information

III. Personal Statement

IV. Financial Statement

V. Application Submission