USD 358 - Scholarship / Loan Application

Scholarship / Loan Application
Please fill out all requested information below. The form is submitted to the District Office for approval by the Board of Education. Payment will not be made until proof of successful completion of the course is provided.
Full Name*

First NameLast Name
E-mail*
Source Of Credit*
College or University
Course Name*
Course Description*
Including Course Numbers
Date Course Begins*
Date Course Concludes*
Number of Credit Hours
Cost Per Credit Hour*
Other Costs
Please Itemize
The district will pay a maximum of $100.00 per hour for tuition and books to a maximum of $600.00 per semester.
Total Amount Requested*
Answer the following questions. Answers should show some thought and logic, and will have a bearing on the approval of the application.
How will this course benefit your teaching?
How will this course benefit the district?
Should be Empty: