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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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