PAGE Marcia T. Clanton Future Educator Scholarship

Applications must be postmarked by March 31, 2017.

ELIGIBILITY CRITERIA

Each scholarship is a non-renewable award of $500 payable to the winner’s college or university. The PAGE Foundation will forward award money to the college of the winner’s choice upon his/her enrollment at that institution.

THIS IS A COMPETITIVE SCHOLARSHIP. APPLICANTS MUST MEET THE FOLLOWING CRITERIA:

Applicants must:

  • be a student at Putnam County High School or a high school of the Savannah-Chatham County Public School System.
  • be a high school senior and accepted into college.
  • have a 3.0 GPA or higher.
  • plan to pursue a career in teaching.
  • submit three recommendations with this completed application.

Instructions:

  • Complete all portions of the application, including the essay questions.
  • Sign and date.
  • Have a parent/guardian sign and date.
  • Obtain three recommendations (see recommendation form included in this application packet).
  • Please do not staple any portion of your application.
  • Enclose everything, including the recommendations, in one envelope and mail by the deadline.

Completed and Signed ApplicationEssay responses

Three (3) Recommendations (Please note: only 3 recommendations will be scored)

Applications must be postmarked by March 31, 2017.

Late or incomplete applications will not be considered.


Applicant Information

Student Name ______Name you are called ______

Last FirstMiddle

Home address ______City ______State _____ Zip ______

Phone ______Email ______SS# ______

High School Information

School ______Class Rank ______of ______GPA ______

Senior Counselor’s Name ______Phone ______

Counselor’s Email ______Date of Honor’s Day Program ______

School and community activities (if necessary, attach additional sheet):

Name of Activity From - ToOffice held and awards received (if any)

______

______

______

______

______

______

College Applications [List colleges you have applied to and indicate which have already accepted you.]

CollegeAccepted

  1. ______Yes ☐ No ☐ Pending ☐
  2. ______Yes ☐ No ☐ Pending ☐
  3. ______Yes ☐ No ☐ Pending ☐
  4. ______Yes ☐ No ☐ Pending ☐
  5. ______Yes ☐ No ☐ Pending ☐

Name the college you plan to attend.

First choice ______Second choice ______

Having read the Eligibility Criteria, I agree and attest that I have or will fulfill all the requirements for receipt of this scholarship or will repay funds provided by the PAGE Foundation, Inc.

Applicant Signature: ______Date: ______

I hereby consent to the release of information about, or relative to, my child’s participation in the PAGE Foundation Scholarship Program, including photographs, sound and video recordings, and any other data. (Specific information about academic record, e.g., grade point average, test scores, etc., will not be released.) The Professional Association of Georgia Educators and/or PAGE Foundation, Inc. shall have full rights to reproduction and use of all such materials.

Parent/GuardianName (Please print): ______

Signature: ______Date: ______

Applications must be postmarked by March 31, 2017.Late or incomplete applications will not be considered.

Please do not staple any portion of your application.Make sure you enclose everything in one envelope:

Completed and Signed ApplicationEssay responses

Three (3) Recommendations (Please note: only 3 recommendations will be scored)

Mail completed application to:PAGE Foundation Scholarship Program●PO Box 937●Young Harris, GA 30582

RECOMMENDATION FORM

Submit three recommendations. Use this original to make three copies.

Student’s Name______

1. How long have you known this applicant? ______In what context? ______

______

2. What are the first words that come to your mind in describing this applicant?______

______

3. RATINGS

Compared to other individuals with whom you have worked, check how you would rate this pre-educator in terms ofskills and potential:

No basis / Below Average / Average / Good
(above average) / Very Good (well above average / Excellent
(top 10%) / One of the
top few encountered
in my career
Creative, original thought
Written expression
Intellectual ability
Academic achievement
Independence, initiative
Potential for growth
Disciplined work habits
Positive attitude/cooperative spirit
SUMMARY
EVALUATION

4. WRITTEN EVALUATION

Please include with this form a written letter of recommendation describing how this applicant stands out from his or her peers. As you write, please address as many of the following questions as are applicable. (Some items may not be relevant for all applicants.) Please write or type only on the front of the paper. Thank you for your cooperation.

  1. What skills and competencies does this applicant have that will make him/her an effective educator?
  2. Describe accomplishments for this applicant in one of the following areas: academic, school or community activities, or employment.
  3. What makes this applicant stand out from other students/pre-educators?

Please print name______

Signature______Date______

Position/Title______

Please returnthis completed recommendation form and your letter to the applicant

as they must be mailed with the application. You may enclose it in a sealed envelope if you like.

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