BRCTM Scholarship: Student Application
Thank you for applying. Please be certain to email all necessary documents by April 24, 2020.
In addition to completing this Student Application, please remember to submit the following as email attachments to Beth Swain at bswain@salem.k12.va.us: 1. a letter of recommendation from a high school math teacher; 2. a letter of recommendation from a high school counselor or administrator; 3. a copy of your most recent high school transcript; and 4. your SAT/ACT scores.
Applicant's First Name *
Applicant's Last Name *
Street Address *
City, State, Zip Code *
Phone *
Email Address *
Parent/Guardian's Name *
Parent/Guardian's Phone *
Parent/Guardian's Email Address *
School Name *
School Division *
School Street Address *
School City, State, Zip Code *
School Phone *
School Principal's Name *
School Guidance Counselor's Name *
Name of College/University Student Will Attend *
Please list any honors or awards that you have received. *
Please list school and community activities in which you have engaged. *
Imagine yourself ten years from now, after you have been a math teacher for five or six years. Write a brief letter (~ 250 words) reminding your future self of the kind of math teacher that you hope to become. *
We recommend that you compose your letter using a separate word processor and then copy/paste the text into this form. Mechanics, grammar, and clarity will be considered when evaluating appilciations.
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