F.S. Root & Ed Trice Memorial Scholarship Application Form
High school senior seeking education degree
Provide three (3) completed Scholarship Reference Forms from three different individuals.
Reference type should be listed as either “Educator”, “Community” or “PTA”.
One reference from each type is preferred, but not required
The references must be filled out in the scholarship reference form on the ARPTA website.
Applicant Name *
Your answer
Applicant Parent/Guardian *
Your answer
Applicant Mailing Address *
Your answer
Applicant Phone Number *
Your answer
Applicant Email *
Your answer
Name of High School *
Your answer
Date of Graduation *
MM
/
DD
/
YYYY
Are you in the top 1/3 of your graduating class at this time? *
PTA Unit Name *
Your answer
Are you a current PTA member? *
If Yes, How long?
Your answer
Were any family members ever PTA officers (at any school) *
If Yes, What was the most responsible position held?
Your answer
What is your annual Family Income? *
Your answer
How many family members are living in your home? *
Your answer
What grade level are you interested in teaching? *
Please list any community activities, clubs, academic honors, awards, interest and work history for the past two years. *
Your answer
Who I am and why I want to be a teacher *
Write a brief narrative (300 words or less) titled “Who I am and why I want to be a teacher”.
Your answer
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