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.
Personal Information
Name *
Address *
City, State, Zip Code *
Phone *
Email *
Birthdate *
MM
/
DD
/
YYYY
Age *
GPA - Junior Year *
This should be the average of all report cards.
Activities & Honors
GPA - Senior Year *
This should be an estimate based on year-to-date grades received and anticipated grades from final semester.
Honors Received *
These should include both school and community activities.
Leadership Experience *
This should include both school and community activities.
Extra-Curricular Activities & Volunteerism *
This should include both school and community activities.
Work Experience *
Please describe any paid work you have done during your high-school career.
Additional Hobbies or Interests? *
What do you enjoy doing outside of school, volunteerism, and extra-curricular activities?
College Information
What college or school do you plan to attend? *
Have you already been accepted? *
If NO, What other colleges or schools have you applied to?
What area of teaching do you plan to pursue? *
What other scholarships have you applied for? *
What scholarships have you been awarded or do you anticipate receiving? *
Please include amount received or anticipated.
Essay Question
Please provide a 500 word response to the following question.
Why do you want to become a teacher or educator? *
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