Instructor's Application to Be a GFA-TA Recipient

Application for Grader-Recipient Educators under the Grade for America ® Program

Application Deadline - Ongoing
Read and follow the instructions carefully prior to submitting your application.
If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
Read and Understand the instructions.*

Yes, I have
Full Name*

First NameLast Name
Mobile No. :*

Area CodePhone Number
E-mail :*
This must be a work email address; all correspondence will be sent here.
Work Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Your Main Area(s) of Teaching:*
College(s) Attended:
Year of Graduation (most recent):
Most recent college attended and cumulative transfer GPA:
Hours/week you now teach:
Unpaid, Non-Teaching Responsibilities:
Grade for America® considers educators with unique characteristics. Please check each of the qualifiers below that apply to you. This data may increase your likelihood of qualifying for a GFA grader. Please note, if you are assigned a grader based on any of these qualifiers, you will be asked to produce documentation verifying your unique eligibility.
Have you ever received a GFA grader?

YesNo
Do you have a disability?

YesNo
Do you teach at a Minority-Serving Institution (MSI), such as HBCU, PBI, HSI, TCU, NANTI, ANNHI, AANAPISI)?

YesNo
Are you enrolled in a higher-degree program?*

YesNo
If so, will you work:

Full-timePart-time
Optional Information:

Information regarding gender, ethnic origin and race are optional. The information is requested for report generation only and in no way affects the evaluation of your application to become a GFA-Grader Recipient. However, providing this information may increase your likelihood of being assigned a grader in (and only in) instances where donors have asked that priority consideration be given to applicants meeting certain demographic criteria (such as minority status, teaching at particular types of educational institutions, place of employment, subjects or courses taught, etc.)
Gender:

MaleFemale
Are you authorized to work legally in the US?

YesNoOther
Ethnic Origin:

HispanicNon-HispanicNot Indicated
Race? (Choose one or more):

Non-Resident AlienWhiteBlack or African AmericanAmerican Indian or Alaskan Native Hawaiian or Other Pacific IslanderAsian
Please check veteran status (Check all that apply)

VeteranChild of a VeteranGrandchild of a VeteranSpouse of a VeteranNone of the Above
Status at the time of application:

I have been a full-time educator for more than 20 years.I have been a full-time educator for 10-20 years.I have been a full-time educator for 2-10 years.I have been teaching for less than two years now or am new to teaching.Other
Were you the first in your family to graduate from college?

Yes, I was the first among my parents or grandparents to attend college.No, either my parents or grandparents have attended college.
COVER LETTER

Please paste a cover-letter in 300-500 words. You should address why deserve a TA, describing your particular institutional and/or personal circumstances, how you intend to benefit from a TA, and how your students will tangibly benefit from your having a TA. Include anythign else relevant to the GFA Program's Mission that might favorably affect your application.
Cover Letter (300-500 words):
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:*
Grade for America® is committed to equal opportunity. It does not discriminate on the basis of race, color, religion, gender, age, national origin, disability, marital status, sexual orientation or any other protected class.
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Application for Grader-Recipient Educators under the Grade for America ® Program