Janesville Multicultural Teacher Scholarship

a component of the Community Foundation of Southern Wisconsin, Inc.

For Craig and Parker High SchoolStudents

SCHOLARSHIP GUIDELINES

Established as a renewable scholarship program for Janesville multicultural students intending to pursue a career in education and return to the School District of Janesville to apply for a position with the intention of completing three successful years of employment.

ELIGIBILITY:

1.Applicants must be residents of Janesville OR graduates of a Janesville high school.

2.Applicants must be identified as African-American, Asian, Latino or Native American on School

District of Janesville enrollment/registration forms.

3. Applicants must be pursuing a career in the education field.

4. Applicants must be willing to sign an agreement stating that upon receiving teaching certification, they

agree to return to Janesville, WI and apply for employment with the School District of Janesville.

5. If offered a position, applicants must be willing to complete three years of successful employment with

the School District of Janesville, WI.

APPLICATION PROCEDURE: (Incomplete applications will not be considered)

1. Complete the application form.
2. Attach your high school transcripts and ACT/SAT scores.

3. Attach two letters of recommendation from teachers, coaches, advisors, employers or other non-related

adults who know you well.

4. Attach a one page essay answering this question: Why are you interested in being a teacher in the

School District of Janesville?

DEADLINE:

All required documents should be filed with the high school guidance office, or the Community Foundation of Southern Wisconsin, 26 S. Jackson, Janesville, WI 53548, no later than March 1. Questions? Contact Ann Heiden at 758-0883.

JMTSAPPLICATION(Parker and Craig Students)

Part One: Contact Information

Name ______Home Phone:______

(last)(first)(middle)

E-mail: ______Cell Phone: ______

Home Address ______

(street) (city) (zip)

Primary Parent/Guardian's Name ______Daytime Phone:______

Primary Parent/Guardian's Address ______Home Phone:______

Second Parent/Guardian's Name ______Daytime Phone: ______

Second Parent/Guardian's Address ______Home Phone:______

High School Attending ______Yr. of Graduation ______

Part Two: Educational Goals

NAME OF CAMPUS CITY, STATE APPLIED? ACCEPTED?

First Choice Co llege______

Second Choice College ______

What is your planned major/minor/ interest area?______

Describe what you envision yourself teaching in the School District of Janesville and at what level.

______

List any special needs or barriers you have in attaining a college education. ______

What are the estimated costs for you next year at your first and second choice school?

First choice school: (Tuitions, Fees, Books) ______(Room & Board) ______

Second choice school:(Tuitions, Fees, Books) ______(Room & Board) ______

Assume that you DO receive the JMTS scholarship ($5,000/year for up to five years). How will you pay the remaining costs of your college education? Be specific.

______

Part Three: Extracurricular History

  1. List your high school activities including sports, performing arts, social service organizations, leadership organizations, and special interest clubs. Include the years that you participated in these activities (e.g. “9-12”). Include any special honors or awards received and dates.

______

  1. Listyour out-of-school activities (such as 4-H, church, community sports, etc.). Includespecial honors or awards you have received and dates.

______

  1. List work experiences and dates.

______

______

Part Four: Signatures

I approve the review of this application by the JMTSselection committee and, in the event of a scholarship award, the release of

information contained herein to the news media.

______

Student’s SignatureParent/Guardian's Signature if student is a minorDate

DEADLINE: March 1

Please return your application documents to one of the following locations:

1) Craig or Parker High School Guidance Department

2) Community Foundation of Southern Wisconsin, 26 S. Jackson, Janesville, WI 53548

Late applications will not be accepted.