2025 TLab Scholarship Application: Palm Beach

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Review

Confirmation

2025 TLab Scholarship Application: Palm Beach

This application is for a Palm Beach Branch TLab Scholarship. The Deadline to submit this TLab Scholarship application form is February 1, 2025. If you are not located in or around Palm Beach, please click here to find a scholarship in your area, or apply for a national scholarship. If you are located in or around Palm Beach, please proceed with this application.

If you have any questions, please contact James Stark at jjstarkmd@gmail.com or Alice Uhl at auhl@esuus.org

Indicates required field (*)

Applicant Name: *

First name: *
Last name: *

Personal Email: *

School Email: *

Cell Phone: *

Home Mailing Address: *

Undergraduate Degree (School and Major/Minor): *

Graduation Date: *

Graduate Degree (School and Major/Minor): *

Graduation Date: *

Additional Graduate Work: *

Travel and/or Study Abroad (Nature of Experience and Approximate Length): *

Community Leadership, Activities and Service: *

Additional Experience: *

Please Describe: *

School Name : *

Title(s)/Position(s) at School: *

Number of Years as a Teacher (Total): *

Number of Years as a Teacher (At Current School): *

Distinct Classes and Grade Levels Taught: *

Number of Classes (Total for This Year): *

Number of Class Periods per Day: *

Average Class Size (Classes You Teach): *

Total Number of Students at Your School (6th-12th): *

Number of Students You Teach in Your Discipline or Content Area: *

Current Additional Leadership Roles: *

Please select all that apply...

Teacher Mentor

Peer Instructional Coach

Department Head/Chair

Responsible for Grade-Wide Curriculum Maps

Other

Please describe. *

Principal Name: *

First name: *
Last name: *

Email: *

Phone: *

Assistant Principal Name: *

First name: *
Last name: *

Email: *

Phone: *

School Address: *

Line 1: *
Line 2: *
City: *
State: *
ZIP: *

Title 1: *

Yes

School Location: *

Urban

Suburban

Rural

School Type: *

Please describe your school community.(Include demographic information for your school and district.): *

Please select the program you would like to attend. *

Please indicate why if awarded a TLab Scholarship you would like to attend: *

How did you learn about this scholarship?

: *

The ESU and its branches offer both full and partial scholarships. What additional sources of funding will you pursue should you receive a partial scholarship? (Options may include self-funding, PTA, school PD budget, teacher-specific crowd funding, general crowd-funding, grants, etc.)

: *

Please write a one page personal statement indicating your goals in attending a TLab program. Detail what you hope to gain from the course and how it will affect your teaching. Your statement should give evidence of your qualifications, writing abilities, motivation and adaptability to new circumstances.

Please upload your personal statement. *