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 Please provide a portrait of yourself for Scholarship Fund recognition and promotion purposes.*This photo will ONLY be used if you are selected as a scholarship recipient. School portraits are encouraged. Please do not submit selfies. Max. file size: 100 MB.Photo release*I hereby grant permission for MARSP to use the above photograph in print and digital publications, news releases, and social media content related to the Scholarship Fund. I agree.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, 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.Certification of application* To the best of my knowledge and belief, I certify that the information in this application is true and accurate.If selected, may we follow up with you for an interview?* Yes No