2019-2020 CRI TEACHER SCHOLARSHIP APPLICATION
AWARD: $1000, non-renewable (All or a partial amount can be used for professional development. Any amount not used for professional development must be used for specific classroom enhancements or activities. Previous CRI teacher scholarship recipients can apply.)

APPLICATION DEADLINE: Sunday, March 1, 2020

APPLICATION REQUIREMENTS/DESCRIPTION: This scholarship is for 1 Proviso East High School full-time, classroom teacher seeking financial assistance for innovative classroom projects and professional development. Applicants should demonstrate a dedication to enhancing their classroom environment & career. Please fill out the following online application as completely as possible.

SELECTION PROCEDURE: Common Roots Initiative will select the scholarship recipient. How you would use the scholarship money to advance a vision for your classroom and/or career will be weighted heavily. More information (i.e. an interview, video demo or etc.) may be requested beyond this application. The scholarship recipient will be notified by Monday, May 4, 2020.

APPLICATION LINK: https://bit.ly/CRITeacher2020
PERSONAL & ACADEMIC INFORMATION
Full Name *
Type your first, middle (if applicable), and last name.
Your answer
Work Phone Number *
Type your 10-digit work phone number, including area code (xxx-xxx-xxxx).
Your answer
Mobile Phone Number *
Type your 10-digit mobile phone number, including area code (xxx-xxx-xxxx), as we may need to be able to contact you outside of school hours or days.
Your answer
Work E-mail Address *
Type your full work e-mail address, including the @ symbol.
Your answer
Personal E-mail Address *
Type your personal e-mail address, including the @ symbol, as we may need to be able to contact you outside of school hours or days.
Your answer
School *
Type the full name of the school at which you teach.
Your answer
Subject(s) Taught *
Type the names of the subject(s) that you teach.
Your answer
Grade(s) Taught *
Type the grade levels for which you teach.
Your answer
EXTRACURRICULAR & COMMUNITY ACTIVITIES (in last 5 years)
Provide 4 pieces of information for each activity: 1) Name of Activity, 2) Your Title, 3) Month/Year Started, 4) Month/Year Ended. List a maximum of 5 separate activities.
First Extracurricular/Community Activity
Type name of activity, your title, month/year started and month/year ended.
Your answer
Second Extracurricular/Community Activity
Type name of activity, your title, month/year started and month/year ended.
Your answer
Third Extracurricular/Community Activity
Type name of activity, your title, month/year started and month/year ended.
Your answer
Fourth Extracurricular/Community Activity
Type name of activity, your title, month/year started and month/year ended.
Your answer
Fifth Extracurricular/Community Activity
Type name of activity, your title, month/year started and month/year ended.
Your answer
LIST OF PROFESSIONAL REFERENCES
Provide 2 professional references (excluding family members). Include a full name, title and current contact information for each.
First Professional Reference *
Type in your 1st reference's full name, title and current contact information.
Your answer
Second Professional Reference *
Type in your 2nd reference's full name, title and current contact information.
Your answer
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