Program Application
(Mentors Instructing Students Toward Effective Role Models)
Instructions
• Apply and be accepted to Winthrop University. Priority deadline for admission is March 15.
• Complete the FAFSA (Free Application for Federal Student Aid).
• Submit completed Call Me MISTER program application.
wTwo letters of recommendation
n
One from an educator or administrator representing the last school attended.
n One from a person of the student’s choice who can describe the student’s involvement in the community
and/or potential for entering the teaching profession.
wTwo essays
n An essay entitled “Why I Want to Teach,” which addresses the student’s motivation for entering the teaching
profession and the contributions he hopes to make to the profession and to the community as a teacher.
n An essay entitled “How the Call Me MISTER Program Will Benefit Me as a Student”
wA signed statement from a counselor or school official certifying that the student is from an under-served,
under-privileged or economically disadvantaged background or area.
Personal Information
Name (Full Name):
SSN or 8-digit Campus ID Number:
Permanent Address:
City:
State: Telephone:
Cell:
ZIP Code:
E-mail:
Date of Birth (Month/Day/Year):
Hometown (City & State):
Parent(s)/Guardian(s) Name (s):
Intended Major:
Entry Term:
Educational Information
High School Attended:
City:
State: Date of Graduation:
List any honors, awards, or special achievement received while in high school and/or college (including extracurricular
activities of school, church, and community):
Signature of Applicant:
Date:
Signature of Parent or Legal Guardian:
(if applicant is under age 18)
Date:
Completed application and recommendations should be sent to:
Winthrop University
Call Me MISTER Program
Attn: Mr. Jackie K. Brockington, Jr.
126 Tillman Hall
Rock Hill, SC 29732