Scholarship Application for Educators Date:   7/4/2008 Please allow at least 30 minutes to fully answer the questions in this application. For those questions that require longer answers, you may find it convenient to write out your answers using a word processing program and then cut-and-paste them in the spaces provided. Step    1    2    3    4    of 4 The fields with an asterisk (*) are required. Scholarship applying for: (You will automatically be considered for all other scholarships for which you are eligible.)*        Please select Excellence in Health Informatics Scholarship Kennecott Land Sustainable Community Scholarship Qwest-WGU Excellence in Education Scholarship Rural Educators Scholarship WGU Aspiring Principals Scholarship WGU-AAE Classroom Excellence Scholarship WGU-AAE Educational Leadership Scholarship First Name:*        Middle Initial:        Last Name:*        Address:*                City:*        State:*        Select one N/A - International Alabama Alaska Alberta Arizona Arkansas British Columbia California Canal Zone Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota North West Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon Postal Code:*        E-mail Address:*        E-mail Repeat:*        Evening Phone:*       - Daytime Phone:*       - Best time to contact:*      Daytime Evening (6-8pm) Which degree program are you most interested in?*        Select a Program -B.S. in Information Technology--Software EDUCATION (initial teaching licensure programs) -B.A. in Interdisciplinary Studies (K-8) -B.A. in Science (5-9 or 5-12) -B.A. in Mathematics (5-9 or 5-12) -B.A. in Social Science (5-12) -B.A. in Special Education -M.A. in Teaching (K-8) -M.A. in Teaching--Science (5-9 or 5-12) -M.A. in Teaching--Mathematics (5-9 or 5-12) -M.A. in Teaching--Social Science (5-12) -Post-bacc Teacher Prep Prgm (K-8) -Post-bacc Teacher Prep Prgm --Science (5-9 or 5-12) -Post-bacc Teacher Prep Prgm --Math (5-9 or 5-12) -Post-bacc Teacher Prep Prgm --Social Science (5-12) EDUCATION (programs for current teachers and others) -M.Ed.--Learning and Technology -M.Ed.--Instructional Design -M.Ed.--Measurement and Evaluation -M.A. in English Language Learning (K-12) -M.A. in Mathematics Education (K-6, 5-9, or 5-12) -M.A. in Science Education (5-9 or 5-12) -M.S. in Special Education -M.S. in Educational Leadership -Endorsement Prep. Program in ELL (PK-12) NURSING -B.S. in Nursing -M.S. in Nursing --Leadership and Management -M.S. in Nursing --Education HEALTH PROFESSIONS -M.S. in Health Education -MBA in Healthcare Management In which state are you currently teaching?        Select one N/A - International Alabama Alaska Alberta Arizona Arkansas British Columbia California Canal Zone Colorado Connecticut Delaware District of Columbia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Manitoba Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Brunswick New Hampshire New Jersey New Mexico New York Newfoundland North Carolina North Dakota North West Territories Nova Scotia Ohio Oklahoma Ontario Oregon Pennsylvania Prince Edward Island Puerto Rico Quebec Rhode Island Saskatchewan South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Yukon © 1998-2008 Western Governors University. All rights reserved.