NOTE: This application for the Durham Teaching Fellowship and/or the Robert Noyce Fellowship must be submitted directly to Joanna Middleton, staff assistant for the MAT Program at Duke University, Box 90739, Durham, NC 27708. Fax (919) 660-3080; Email: . Submit this form IN ADDITION TO the 2017-2018 FAFSA, which must be completed online at: www.fafsa.ed.gov Duke University will receive your electronic FAFSA data provided you designate the Duke University Graduate School Title IV code: E00165. While there is no formal deadline for loan applications, the process takes six to eight weeks. Please take this timeframe into consideration and submit your FAFSA application well in advance of when the funds will be needed.

However, for you to be considered for one of the MAT Fellowships described below, we must receive this application no later than February 15, 2017.

I. DUKE UNIVERSITY MAT PROGRAM FELLOWSHIPS

Estimated tuition cost for MAT Program in 2017-2018 is $48,065. Please check the fellowship(s) you wish to be considered for:

Top of Form

Durham Teaching Fellowship: (Candidates in all subject areas are eligible to apply.) Includes full tuition and an $8,000 stipend. This fellowship is administered as a forgivable loan requiring teaching for two years in Durham Public Schools during the first three years after graduation.

Bottom of Form

Robert Noyce Fellowship: (Only Math and Science candidates eligible to apply.) Minimum $30,000 grant, applied toward tuition, plus an $8,000 stipend. This fellowship is administered as a forgivable loan requiring teaching for two years in a high-need school district anywhere in the US during the first five years after completing the program.

II. APPLICANT’S CONTACT INFORMATION

Last Name: First Name: Middle Name:

Mailing Address:

Email:

Telephone:

Date of Birth:

III. FINANCIAL INFORMATION

Expected financial support to be provided by your family in Academic Year 2017-18: $

Total amount of unpaid debt/loans in your name only from your undergraduate academic career: $

IV. HEALTH INSURANCE

Duke University requires health insurance coverage for all of its enrolled students. Check whether your Health Insurance Fee for the 2017-2018 Academic Year will be--

Student’s financial responsibility, OR

Waived, student has alternate equivalent health insurance coverage

V. FEDERAL LOANS

If you intend to borrow Federal loans, please provide the total loan amount you hope or plan to borrow for the 2017-2018 Academic Year: $

NOTE: Graduate students may be eligible to borrow funds through the Federal Direct Student Loan Program during the academic year, depending on calculated financial need. This question does NOT bind you to any amounts you indicate; rather it is used to assist in our communication to you regarding your loan eligibility. For further information, contact Lisa Roop-Wioskowski, Financial Aid Coordinator, The Graduate School, 2127 Campus Drive, 919-681-3247, lisa.roop-wioskowski@duke

VI. EXTERNAL RESOURCES

Please list below the details of any additional assistance, including outside scholarships or funds from foundations, agencies, or organizations that you anticipate receiving to help finance your educational costs for the 2017-2018 Academic Year:

Source of Funding / Amount
1.
2.
3.

VII. ESSAYS (Attach or answer on the following page.)

All MAT fellowships require teaching for two years in a high-need school district. For either fellowship, answer these two questions:

1.  What strengths do you bring to the task of working with a diverse group of students, many of whom are living in poverty?

2.  Describe two experiences you have had where you taught difficult concepts or information to struggling learners.

The Durham Teaching Fellowship specifically requires students to teach for two years in the Durham Public Schools (www.dpsnc.net). If you wish to be considered for this award, answer the following additional question.

3.  Explain why you wish to stay in Durham and teach in Durham Public Schools.

VII. CERTIFICATION

Please indicate the date that you completed the 2017-2018 FAFSA online:

I certify that the information reported on this application is true and accurate to the best of my knowledge.

Applicant’s Signature: Date:

Return this completed form to: Attn: Joanna Middleton

MAT Program at Duke University

Box 90739

Durham, NC 27708

Fax (919) 660-3080, Email: mailto:


Essay Question Answers

1.  What strengths do you bring to the task of working with a diverse group of students, many of whom are living in poverty?

2.  Describe two experiences you have had where you taught difficult concepts or information to struggling learners.

3.  Explain why you wish to stay in Durham and teach in Durham Public Schools. (Durham Teaching Fellowship only)