Robert Noyce Scholarship Application
Alternate Teaching Certification Programs
This Robert Noyce Scholarship is intended for graduating seniors majoring in a STEM field planning to pursue a teaching career in mathematics or science via one of the alternative certification programs listed below. Ideal candidates demonstrate academic leadership characteristics as well as a desire to increase their knowledge of mathematics, science, and/or education. The value of the scholarship ranges from $12,600 to $15,000. Awardees must commit and sign a contract to teach for 2 years in a high-need school district. To qualify for the scholarship, applicants must enroll in one of the following alternate certification programs.
Programs / Contact Person / Phone NumberBaton Rouge Transition to Teaching / Peggy Wang / 389-7243
Louisiana State University Holmes Program / Bridget Robicheaux / 578-0483
Southern University Non-Master’s Certification / Joseph Meyinsse or
Luria Stubblefield / 771-2085 or
771-4483
Teach Baton Rouge / Beanka Williams / 922-5488
Teach Louisiana Consortium (LRCE) / Angelle Stringer / 924-7600
Instructional Notes/ Checklist
1. Completed applications may be hand delivered or mailed to the Noyce Scholarship Committee, c/o Joseph Meyinsse, Department of Science/Mathematics Education, Southern University, P. O. Box 9256, Baton Rouge, LA 70813-9256. Faxed or emailed applications will not be accepted.
2. Three completed recommendation forms must be included with the application.
3. The typed response to the three essay questions (listed below) must be completed and included with the application.
4. An official sealed transcript must be included with the application.
5. Incomplete applications will not be considered.
6. Application deadline: March 31, 2008
7. For more information, contact the alternative certification program in which you are interested in enrolling.
Essay
Please respond to each of the following questions in 200 words or less (for each question). Your responses must be typed and included with the application form.
1. Discuss your career goals as they relate to mathematics, one of the sciences, and/or education.
2. List and explain three qualities and /or experiences that uniquely qualify you for this scholarship.
3. Explain why you are considering a career in education.
Robert Noyce Scholarship Application
General Information
Name ______
Social Security Number ______Date of Birth______
Address ______
City,State, Zip Code ______
Home Phone ______Cell Phone ______
Email Address ______
Race/Ethnicity ______
List all schools attended from high school to present.
School City,State Dates Attended (from–to)
______
______
______
______
______
Highest Degree Earned ______
Preferred teaching certification content area (circle one) Math Science
For which alternate teaching certification program are you applying?
_____ Baton Rouge Transition to Teaching
_____ Louisiana State University Holmes Program
_____ Southern University Non-Master’s Certification
_____ Teach Baton Rouge
_____ Teach Louisiana Consortium (LRCE)
Robert Noyce Scholarship
Recommendation Form
Applicant’s Name ______
The above student is applying for the Robert Noyce Scholarship which is intended for anyone planning to pursue a teaching career in mathematics or science via an alternative certification program. Ideal candidates demonstrate academic leadership characteristics as well as a desire to increase their knowledge of mathematics, science, and/or education. Please complete each question below by circling the number to the right which corresponds to your knowledge of the applicant.
Recommender’s Name and Position:______
Phone and Email: ______
Signature: ______Date: ______
Scale Value 1 Strongly Disagree 2 Disagree 3 Neutral 4 Agree 5 Strongly Agree
Question / Scale1. The applicant demonstrates proficient oral communication skills. / N/A / 1 / 2 / 3 / 4 / 5
2. The applicant demonstrates proficient written communication skills. / N/A / 1 / 2 / 3 / 4 / 5
3. The applicant demonstrates proficient critical thinking skills. / N/A / 1 / 2 / 3 / 4 / 5
4. The applicant demonstrates the ability to apply math and science skills in real world or simulated contexts. / N/A / 1 / 2 / 3 / 4 / 5
5. The applicant demonstrates the ability to teach math or science. / N/A / 1 / 2 / 3 / 4 / 5
6. The applicant demonstrates a desire to perform well academically. / N/A / 1 / 2 / 3 / 4 / 5
7. The applicant demonstrates a commitment to achieving his/her goals. / N/A / 1 / 2 / 3 / 4 / 5
8. The applicant demonstrates the ability to work well with peers. / N/A / 1 / 2 / 3 / 4 / 5
9. I consider this applicant to be of good character. / N/A / 1 / 2 / 3 / 4 / 5
Comments (Attach additional sheet if necessary)
______
______
______
Robert Noyce Scholarship
Recommendation Form
Applicant’s Name ______
The above student is applying for the Robert Noyce Scholarship which is intended for anyone planning to pursue a teaching career in mathematics or science via an alternative certification program. Ideal candidates demonstrate academic leadership characteristics as well as a desire to increase their knowledge of mathematics, science, and/or education. Please complete each question below by circling the number to the right which corresponds to your knowledge of the applicant.
Recommender’s Name and Position:______
Phone and Email: ______
Signature: ______Date: ______
Scale Value 1 Strongly Disagree 2 Disagree 3 Neutral 4 Agree 5 Strongly Agree
Question / Scale1. The applicant demonstrates proficient oral communication skills. / N/A / 1 / 2 / 3 / 4 / 5
2. The applicant demonstrates proficient written communication skills. / N/A / 1 / 2 / 3 / 4 / 5
3. The applicant demonstrates proficient critical thinking skills. / N/A / 1 / 2 / 3 / 4 / 5
4. The applicant demonstrates the ability to apply math and science skills in real world or simulated contexts. / N/A / 1 / 2 / 3 / 4 / 5
5. The applicant demonstrates the ability to teach math or science. / N/A / 1 / 2 / 3 / 4 / 5
6. The applicant demonstrates a desire to perform well academically. / N/A / 1 / 2 / 3 / 4 / 5
7. The applicant demonstrates a commitment to achieving his/her goals. / N/A / 1 / 2 / 3 / 4 / 5
8. The applicant demonstrates the ability to work well with peers. / N/A / 1 / 2 / 3 / 4 / 5
9. I consider this applicant to be of good character. / N/A / 1 / 2 / 3 / 4 / 5
Comments (Attach additional sheet if necessary)
______
______
______
Robert Noyce Scholarship
Recommendation Form
Applicant’s Name ______
The above student is applying for the Robert Noyce Scholarship which is intended for anyone planning to pursue a teaching career in mathematics or science via an alternative certification program. Ideal candidates demonstrate academic leadership characteristics as well as a desire to increase their knowledge of mathematics, science, and/or education. Please complete each question below by circling the number to the right which corresponds to your knowledge of the applicant.
Recommender’s Name and Position:______
Phone and Email: ______
Signature: ______Date: ______
Scale Value 1 Strongly Disagree 2 Disagree 3 Neutral 4 Agree 5 Strongly Agree
Question / Scale1. The applicant demonstrates proficient oral communication skills. / N/A / 1 / 2 / 3 / 4 / 5
2. The applicant demonstrates proficient written communication skills. / N/A / 1 / 2 / 3 / 4 / 5
3. The applicant demonstrates proficient critical thinking skills. / N/A / 1 / 2 / 3 / 4 / 5
4. The applicant demonstrates the ability to apply math and science skills in real world or simulated contexts. / N/A / 1 / 2 / 3 / 4 / 5
5. The applicant demonstrates the ability to teach math or science. / N/A / 1 / 2 / 3 / 4 / 5
6. The applicant demonstrates a desire to perform well academically. / N/A / 1 / 2 / 3 / 4 / 5
7. The applicant demonstrates a commitment to achieving his/her goals. / N/A / 1 / 2 / 3 / 4 / 5
8. The applicant demonstrates the ability to work well with peers. / N/A / 1 / 2 / 3 / 4 / 5
9. I consider this applicant to be of good character. / N/A / 1 / 2 / 3 / 4 / 5
Comments (Attach additional sheet if necessary)
______
______
______