The Theilemann Family Teacher Scholarship
For students who live in Gilpin County or any student attending Gilpin County RE-1 School District who is graduating high school and going to college to pursue a degree in education. Scholarships are $1,000 and only one will be awarded per year.
* Required
Personal Information
Name
*
Your answer
Address
*
Your answer
City, State, Zip Code
*
Your answer
Phone
*
Your answer
Email
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Age
*
Your answer
GPA - Junior Year
*
This should be the average of all report cards.
Your answer
Activities & Honors
GPA - Senior Year
*
This should be an estimate based on year-to-date grades received and anticipated grades from final semester.
Your answer
Honors Received
*
These should include both school and community activities.
Your answer
Leadership Experience
*
This should include both school and community activities.
Your answer
Extra-Curricular Activities & Volunteerism
*
This should include both school and community activities.
Your answer
Work Experience
*
Please describe any paid work you have done during your high-school career.
Your answer
Additional Hobbies or Interests?
*
What do you enjoy doing outside of school, volunteerism, and extra-curricular activities?
Your answer
College Information
What college or school do you plan to attend?
*
Your answer
Have you already been accepted?
*
YES
NO
If NO, What other colleges or schools have you applied to?
Your answer
What area of teaching do you plan to pursue?
*
Your answer
What other scholarships have you applied for?
*
Your answer
What scholarships have you been awarded or do you anticipate receiving?
*
Please include amount received or anticipated.
Your answer
Essay Question
Please provide a 500 word response to the following question.
Why do you want to become a teacher or educator?
*
Your answer
Your answer
Attachments
Please email a copy of the following to
gilpinfoundation@gmail.com
with the following Subject Line: YOUR NAME: Scholarship Application Attachments
1. A copy of your most recent school transcript.
2. A copy of your ACT or SAT score.
3. The name, phone, and email of three references who know you well and that we may contact for a character reference.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
