College of Education Scholarship Application

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1 College of Education Scholarship Application Completed scholarship applications must be submitted by February 16, 2018 by 5 PM Note: Applicants will be notified of the outcome of their applications by mail to their local mailing address provided on this application. The applicant is responsible for reporting any address changes to Carma Ganta at carma.ganta@oregonstate.edu. Scholarship Eligibility: Scholarship eligibility is based on student's full or part-time enrollment in one of the following programs, based on each program's credit requirements per term. A 3.0 or higher GPA Education Double Degree (Must be in application phase of the Professional Level/Student Teaching Cohort) Any Master s program within the College of Education or program within a cognate college licensure program (Music Education, Agricultural Education, Physical Education Teacher Education). (Must be an enrolled student or in the application phase) Any Doctoral program within the College of Education (Must be an enrolled student or in the application phase) Requirements for Specific Scholarships The following information will allow the scholarship committee to determine which College of Education Scholarships are you eligible for. What is your gender? What is your Ethnic Identity? Are you a first generation college student? Yes No Are you a citizen of the United States? Yes No ; What is your country of origin? Would you like to be considered for scholarships that are aimed at the following:

2 Students who attended high school in Benton County? Yes No Students who attended high school in Forest Grove? Students who are from Hawaii? Minority students? Student with disability? Older or non-traditional student? Causes for Scholarship Disqualification Include: Late or incomplete application Failure to provide acceptance of the scholarship/s by the deadline in the letter of notification Falsified information Termination of enrollment or not being accepted to a College of Education program or Oregon State University licensure program Awards Scholarships will be awarded at the Annual College of Education Scholarship Reception on Thursday, April 19, 2018.

3 Background Information Fields indicated with a * are required *First Name: *Middle Name: *Last Name: *City, State and Country of Permanent Address (Format: e.g. Portland, Oregon, United States of America): *Local Mailing Address (Format: e.g. 200 SW 15th Street, Corvallis, OR 97331): This address will be used to notify you of the outcomes of this application *Phone Number (Format: e.g. 541-xxxxxxx): * Address:

4 OSU Background Fields indicated with a * are required *OSU ID Number: *Enrollment Status: Full-Time Part-Time *Enrollment Type: Undergraduate Graduate *If undergraduate, class rank: Freshman Sophomore Junior Senior *Cumulative Grade Point Average:

5 Program of Study Fields indicated with a * are required Please choose your program of study or option below. If you are enrolled in the Education Double Degree (undergraduate) program, select the appropriate option under "Education Double Degree" and under the "Others Program" section, choose "I am a Double Degree student" If you are not enrolled in the Education Double Degree (undergraduate) program, please select "Not a Double Degree student" under the "Education Double Degree" section and then select your program under the Other Programs section. *Education Double Degree (please indicate your program by selecting an option below): Advanced Mathematics Biology Chemistry Elementary Multiple subjects English Language Arts Family and Consumer Sciences Foundational/Basic Mathematics Health Integrated Science Physics Social Studies ESOL Endorsement ONLY (already a licensed teacher) Not a Double Degree student *Other Programs (please indicate your program by selecting an option below): MS Agricultural Education Corvallis Campus MS Physical Education Teacher Education Corvallis Campus MS in Education Science Education - Corvallis Campus

6 MS in Education Math Education - Corvallis Campus MAT Clinically Based Elementary Ecampus/Beaverton Hybrid MAT Music Education - Corvallis Campus MAT Elementary Multiple subjects Cascades Campus MAT English Language Arts Cascades Campus MAT Social Studies Cascades Campus MAT Advanced Mathematics Cascades Campus MAT Integrated Science Cascades Campus MAT Biology Cascades Campus MAT Chemistry Cascades Campus MAT Physics Cascades Campus EdM in Education (Options: Social Justice, ESOL, Math and Science, Free Choice Learning) Ecampus EdM in Adult and Higher Education Ecampus Hybrid MCoun School Counseling Ecampus Hybrid MCoun School or Clinical Mental Health Counseling Cascades Campus PhD in Education Agricultural Education PhD in Education Science/Math Education - Corvallis Campus PhD in Education LEEP - Corvallis Campus PhD in Counseling EdD or PhD in Adult and Higher Education (CCL or LHE) I am a Double Degree student

7 Financial Needs Assessment Fields indicated with a * are required Please answer the below questions to the best of your knowledge. *Have you completed the Free Application for Federal Student Aid (FAFSA)? Yes No If you are a graduate student, do you have any continuing financial support from grants, stipends, or assistantships? Please describe. Please include any other information that you wish to share with the Scholarship Committee regarding your financial need. Additional Documents Along with this application, please submit your professional goals statement and one-page resume. Please roll-up these documents into one PDF file with the following format: Last Name_First Name_2018_ScholarshipApp Your resume should include the following components as appropriate: Education, Employment History, Community Service and Volunteer Activities, Professional Affiliations, Activities, Scholarships, Awards, and/or Honors. Submission Procedure your PDF document that contains your completed application, professional goals statement, and one-page resume to askcoed@oregonstate.edu or drop it off at the Student Services Office, located in 104 Furman Hall. The application deadline is February 16, 2018 at 5PM

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