2021 JJ Pearce Teacher Scholarship Application

2021 RISD Council of PTAs Teacher Scholarship Application

The information provided on this form will be used by the RISD Council of PTAs Scholarship Committee to select recipients of the Dr. J.J. Pearce Scholarship Fund.

Requirements: The applicate must have completed one academic year of teaching or employment in RISD, be an employee in good standing and must be considered a full-time employee by the Richardson School District, and continue his/her employment with the RISD for a period of not less than one year following the award.

Note: Scholarship funds must be used within one (1) calendar year of being awarded.

Amount: One-time award of $500 to a directly to the educational instituion.

Submit: Completed digital form.

Deadline: Sunday, March 21, 2021 at 11:59pm
TEACHER INFORMATION
Teacher Full Name *

First Name Last Name
Gender *

Male Female
Teacher Address *

Street Address

Street Address Line 2

City State

Zip Code
Cell Phone Number *
Primary E-mail *
example@example.com
Total Years Teaching *
Number of Years in RISD *
Number of Years in another district *
Current teaching assignment *
Campus / Grade / Subject
What School are you a PTA Member *
Campus / Grade / Subject
Campus / Grade / Subject
Campus / Grade / Subject
Degree / Educational Improvement Sought

In order of preference, list the major(s) you are considering.
*

Masters, PhD or Teaching Certificate Professional Development or Continuing Education
Workshop:
Why is this workshop, seminar and/or course work needed:
When do you plan to attend:
What professional goals have you set for yourself in the next 5 years:
Current Degree(s) Held: *
List your responsibilities / activities at School: *
Community Awards & Honors
Community Awards & Honors:
Community Awards & Honors:
FINANCIAL INFORMATION
Marital Status *

Single Married Divorced Widowed
Spouse's Occupation: *
Household Size: *
How many people are in your family?
Family's Annual Income: *
Number of children in college: *
How many people will be/are attending college?
List dependents in school
name/grade/school or college
List dependents in school
name/grade/school or college
List dependents in school
name/grade/school or college
Other income that can be used for educational purposes?
Inheritance, college funds, etc.
Are there any special circumstances that you believe would help the committee in its decision?
Scholarships Received
Are you a prior recipient of this scholarship: *

Yes No
If yes, what year?
PERSONAL STATEMENT

Your essay is a statement regarding your academic and career objectives, goals and aspirations. Your statement is very important and the Scholarship Committee relies heavily on this statement. You may include the following: what has shaped you as a person; what are your educational and/or career goals; why have you chosen these goals; how do you envision making a contribution to your community after you complete your education. Include any special circumstances or unusual hardships.
Essay: (maximum of 250 words) *

0/250
E-Signature
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.
Student E-Signature: *
Should be Empty:

TEACHER INFORMATION

Degree / Educational Improvement Sought

Community Awards & Honors

FINANCIAL INFORMATION

Scholarships Received

PERSONAL STATEMENT

E-Signature