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School of Education

TigersTeach Scholarship Application

TigersTeach
APPLICANT INFORMATION:   
Last Name:     First Name:     M.I.:    
Street Address:    
City:     State:     Zip:    
Phone:     E-mail:    
Date of Birth:     Clemson User ID:    
Teaching Discipline (Mathematics, Chemistry, Physics or Biology):       
Are you interested in:    Undergraduate Dual Major     or     MAT Program    
US Citizen:     Yes      No     Ethnic Origin:    
Nonresident:     Yes      No     Citizenship:    
Have you ever been convicted of a felony:
Yes      No     If yes, explain:    
EDUCATION:   
College:     Degree/Major:    
From:     To:     Did you graduate:   Yes      No      GPA:    
College:     Degree/Major:    
From:     To:     Did you graduate:   Yes      No      GPA:    
Other:     Relevant coursework:    
From:     To:      
REFERENCES:   
Please list two professional references.     
Full Name:     Relationship:    
Company:     Phone:    
Address:    
Full Name:     Relationship:    
Company:     Phone:    
Address:    
Why do you want to become a math or science teacher? (250 words or fewer):   
   
What attributes do you currently possess and what attributes do you want to develop that will help you as a math or science teacher? (250 words or fewer):   
   

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