2016-2017
Longwood University
Teacher Preparation Scholarship Application
For Office Use Only
Cr. Hrs. Earned: ___________
Cum. GPA: _______________
Cr. Hrs. Enrolled: __________
Level of Need: ____________
We appreciate your interest in our teacher preparation scholarships. The information you provide will assist in determining your
eligibility for scholarships and compliance with the selection process. This application will be made available to the Teacher
Preparation Scholarship and Awards Committee. You must reapply each year in order to renew a scholarship you are currently
receiving. Should you be recommended for a scholarship and then later fail to meet the scholarship criteria, the scholarship will
NOT be awarded.
BACKGROUND INFORMATION
Applicant’s Full Legal Name:__________________________________________ LU I.D.#:_____________________
Campus Address:_________________________________ Campus e-mail:_________________________________
Permanent Address:_________________________________________________ Phone:________________________
City – State – Zip:_________________________________________________________________________________
County or City of Permanent Residence:_______________________________________________________________
Teacher Preparation Program (specify):_________________________ Grade/Subject Interest:_________________
Undergraduate Student: [ ] Yes [ ] No
Graduate Student: [ ] Yes [ ] No
Expected Student Teaching Date: [ ] Fall 2015 [ ] Spring 2016 [ ] Other Expected Graduation Date:_____________
Transfer Student: [ ] Yes [ ] No (If yes, give name of previous college or university):__________________________________
High School Attended: ________________________________________ High School GPA:_____________________
FAFSA filed: [ ] Yes [ ] No (Required for Need-Based Scholarships)
Did you receive scholarships last year? [ ] Yes [ ] No (If so, identify them):_______________________________
APPLICATION REQUIREMENTS
Directions: Complete A-C if these apply to you. Attach a resume and complete item D if you will be student teaching
in Fall 2016 or Spring 2017 and would like to be considered for the Strong Award.
A. List memberships in organizations and offices held in the university or community:
____________________________________________________________________________________________
____________________________________________________________________________________________
Do you belong to the Longwood Student Virginia Education Association? [ ] Yes [ ] No
Do you belong to Kappa Delta Pi? [ ] Yes [ ] No
B. Describe any special circumstances regarding need for a scholarship:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
C. List any honors or awards received and any community service or research projects conducted:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
D. Type and attach a 350-word essay on a separate page answering the following: As an aspiring educator,
how will your contributions to the field of education impact student achievement as well as your own
personal/professional growth? How will receiving a scholarship impact your professional and/or personal goals?
SIGNED RELEASE: I hereby authorize Longwood University to release the above data, grade reports, and financial
information to the Teacher Preparation Scholarship and Awards Committee.
Signature:____________________________________________ Date:_____________________________________
APPLICATIONS DUE: Wednesday, February 24, 2016, by 5:00 PM to Bonnie Campbell in Hull 259
NOTE: If you are awarded a scholarship, it is your responsibility to contact the Financial Aid Office to determine
how this scholarship might affect other funding and your account. Due to the number of applications received, we
will not be able to notify those students who are not selected. However, if you are awarded a scholarship, you will
receive notification from the Office of the Dean of Education & Human Services in the spring.