MARSP Foundation Scholarship Application *Please note: The IRS requires your social security number to receive this scholarship. You will be required to submit this information upon being awarded a scholarship. Name* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email Phone*Current position* # of years worked in public education Current degree or certificate* Current employer* Work Phone*Name of institution where you plan to enroll and apply this scholarship* First Last Address of institution* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone number of institution*Name of contact person at institution* First Last Name of course, seminar or program* Estimated cost of course* Term/semester you wish to attend**Scholarship funds are not disbursed before July 1st of the year awarded. Have you been accepted as of the date of this application?* Yes No Have you been awarded a MARSP Foundation Scholarship in a prior year?* Yes No Personal statement*Please include an informal letter enabling the selection committee to become acquainted with you as an individual. Include information such as: long-range professional/ vocational goals and plans, personal attributes, need for financial assistance, how this course will help you in your current job or future advancement, and how you became aware of this scholarship. Please conclude with a statement certifying that the information in this application is true and accurate to the best of your knowledge and belief.