Stony Brook University Chapter
Leadership, Research, Service

2017 PDK Prospective Educator

SCHOLARSHIP PROGRAMFORM

PDK@SBU annually awards scholarships to aspiring educators. Eligible students must meet one of the following criteria.

(Select all that apply.)

I am a High school senior intending to major in education.

I am an undergraduate who is currently enrolled in a college education program.

I am a graduate student who is currently enrolled in a college education program.

APPLICATION PROCEDURES

Completed application packet must be submitted no later than Friday, March 31, 2017via email to:

APPLICATION GUIDELINES

• Essay – Attach your response to the essay question. Limit your response to 500 words. The essay must be typed and double spaced. Your full name should appear on each page. The essay question is on page five (5) of this application.

• Reference Letters – Two letters of reference are required, and only two will be accepted. One letter must be from a person familiar with your academic abilities and school activities. The second letter may come from a person of your choice. Both letters should address your interest in teaching and the qualities that will make you a successful educator. Your full name should appear in the upper right corner of each letter of recommendation.

• Transcript – Request a copy of your current school transcript from your school counselor or college registrar. Your transcript must include your grade point average. Your transcript must be sent electronically along with your application to:

THE APPLICATION PACKET WILL INCLUDE:

Application Essay
Transcript
Two Reference Letters
Application Form

Do not send folders, binders, photographs, or other attachments. Please keep a copy of the completed application for your records.

2017 PDK Prospective Educator

SCHOLARSHIP PROGRAMFORM

Please type or print legibly in black ink.

Last Name:
First Name, Middle Initial:
Street Address:
City:
State:
Zip:
Email Address:
Telephone:
What is your gender?(optional)
Which best describes your race/ethnicity? Select all that apply. (Optional)
White, not Latino / Latino/Hispanic / African American / Asian
Native American / Pacific Islander / Other (please specify)

Please complete the following academic information. See your high school counselor/academic advisor if you need assistance.

GPA

Class Size(if available)

Class Rank(if available)

Once I earn my teaching certificate, I would like to teach the following:

Preschool/Early Childhood/Pre-kindergarten students

Elementary students (Grades K–6)

Middle School Students (Grades 7–8)

High School Students (Grades 9–12)

College Students

EDUCATIONAL ACTIVITIES

List activities in which you have worked with others in a teaching or learning capacity. Include any education-focused clubs or organizations you belong to.

LEADERSHIP ACTIVITIES

List activities where you have served as a leader. Include any offices you have held in clubs or organizations. These activities could be both in school and outside of school.

SERVICE ACTIVITIES

List any service projects in which you have participated. Both in-school and outside-of-school activities count.

OTHER ACTIVITIES

List employment and other significant extracurricular activities not mentioned above.

2017 PDK Prospective Educator

SCHOLARSHIP PROGRAMFORM

REFERENCES

List the two people you have asked to provide letters of reference. One should be an educator who knows your academic ability, and the other may be a person of your choice. List the name, title, and telephone number or e-mail address for each reference. Attach both letters of reference to this application form and make sure that each letter has your name in the upper right corner.

Name:
Title:
Email or Phone Number:
Name:
Title:
Email or Phone Number:

ESSAY QUESTION

Attach your written response to the following essay question. Answer all parts of the question. The essay must be typed, double spaced, and 500 words or less. Your full name should appear on each page of the essay.

What has caused you to choose a career in education? What do you hope to accomplish during your career as an educator? How will you measure your success?