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College of Education
Networked Improvement Community Teaching Scholarship
Amount: $3,600 per semester for two semesters (enrollment must be confirmed)
Established by: This scholarship was established by the Network Improved Community (NIC)
working group and funded by the College of Education.
Open to: This scholarship is open to students entering their junior or senior year who intend to
pursue a career in teaching. In addition, the applicant must demonstrate an intent to support
and mentor African American and Latino male students.
Criteria: Good Academic Standing ♦ Financial Need ♦ Community Involvement
Application Procedure: 1) Complete the College of Education Scholarship Application, available
at http://ed.fullerton.edu/current-students/financial-aid-scholarships/; 2) Provide a copy of
your financial aid award package (FAFSA is not required to apply) or other evidence of financial
need (for example: attached a separate page explaining why you are applying for this award
and how receiving it will affect your financial need); 3) Provide a letter of recommendation,
written in the last year, from someone who can speak to your abilities as a future teacher; 4)
Provide a typed, one-page (minimum) essay giving examples of your community involvement
and how your experiences have affected your course of study and future career aspirations. In
addition, please address your intention to support and mentor African American and Latino
Male students. Finally, please also address your plans after completing the credential program;
5) Submit all application materials to the Associate Dean in the College of Education in College
Park 500 or mail your application to: Cal State Fullerton, College of Education, Attn: Dr. Lisa
Kirtman, Associate Dean, 2600 Nutwood Avenue Suite 500, Fullerton, CA 92831.
Application Deadline: April 20, 2015 (by 5:00pm if hand-delivered or postmarked)
NETWORKED IMPROVEMENT COMMUNITY
TEACHING SCHOLARSHIP
2015-2016 ACADEMIC YEAR
INSTRUCTIONS: Complete ALL sections of the application and address your responses to the particular criteria established for the scholarship you have indicated below. All information on the application is required,unless otherwise stated,
in order to evaluate each applicant objectively and select a recipient for each scholarship. Incomplete applications will NOT
be reviewed. NOTE: The College of Education reserves the right to adjust or cancel scholarships and awards at any time
because of changes in availability of funds.
CONTACT INFORMATION
LAST NAME
FIRST NAME
STREET ADDRESS
CITY
MIDDLE INITIAL
STATE
ZIP CODE
EMAIL ADDRESS
PRIMARY PHONE NUMBERSECONDARY PHONE NUMBER
CWID (not SSN)
FINANCIAL NEED
Have you completed the Free Application for Federal Student Aid for the 2015-2016 academic year?
Yes
No
FINANCIAL STATEMENT: Please attach a brief statement explaining how this award money will help you to fund your education.
Please include ANY information that impacts your financial situation; include as much detail as you are comfortable sharing
with the scholarship review committee. Include any other information that is relevant to your application for this scholarship
(personal, professional or otherwise).*
*If you have received a financial aid award estimation for the 2015-2016 academic year, available through your Student Center in
the TITAN Portal, please attach a copy to this application.
EDUCATIONAL OBJECTIVE
Major(s):
Minor (if applicable):
Class standing (select one):
Junior
Senior
Intended graduation date:
What do you hope to teach? Check all that apply.
Elementary school
Middle school and/or High school
subject area (for example, Math, English, Science, etc.):
Special education
Other, please specify:
How did you hear about this scholarship?
Name
APPLICATION - PAGE 2
APPLICATIONS WITHOUT A WRITTEN STATEMENT WILL NOT BE CONSIDERED.
MUST BE TYPED. ADDITIONAL PAGES MAY BE USED AS NEEDED.
1. To what on or off campus organization(s) do you belong? Please list names and dates of membership; names
of offices held and dates; names and dates of organizational programs, projects, and events you were involved
in and what part you played.
2. Please describe any involvement in special projects, research, papers, service learning or other activities that are
not necessarily a part of your academic program requirements but supplement your learning. Please include a
list of professors you are working with, if any.
3. Please describe any community service projects you have participated in and what role you played.
4. How will this scholarship help you reach your educational and career goals?
CERTIFICATION
I certify that, to the best of my knowledge and ability, the above information is true, correct and complete. The university
has the right to verify all information provided. Providing misinformation or choosing not to attend Cal State Fullerton will
result in mandatory repayment of the scholarship and/or award.
SIGNATUREDATE