Montessori Schools of Massachusetts

Teacher Education Scholarship Application
Training Year 2014-2015
MSMResources.org

1. Applicant: Please print or type

Name______________________________________________________________

Address____________________________________________________________

City________________________________ State________Zip________________

Home phone__________________work phone_____________________________

2. Current Employment

Name of School_____________________________________________________

Address_____________________________City ______________State_________

Head of School___________________Years employed___Position held________

Are you receiving any financial support from the school for your training  __Yes  __ No

If "Yes",  how much? _____________________________

3. Educational Background

High School________________________________________________________

College Degree______________________________________________________

Graduate Work______________________________________________________

4. Course in which applicant is seeking scholarship:

___Inf/Tod __3-6 __6-9 __9-12 __12-15

Montessori credentials currently held:

__Inf/Tod __AMS __AMI __Other

__3-6 __AMS __AMI __Other

__6-9 __AMS __AMI __Other

__9-12 __AMS __AMI __Other

__12-15 __AMS __AMI __Other

5. Training Program Applicant will be attending:

(In order to be considered for a scholarship, training program must be MACTE/AMI approved).

______________________________________________________________________________________
Name of Teacher Education Program

______________________________________________                              _________________________
Program Director                                                                                        Home Phone/work phone

______________________________________________                              _________________________
Address                                                                                                     Training Cost

6. I have included with this application:

____Tax return (2014)

____Personal statement

____Resume

(Recommendation by Head of School sent under separate cover)

All paperwork should be sent to:

Susan Swift
C/O Montessori School of Northampton
51 Bates Street
Northampton, MA 01060

7. Truthfulness of information:

The applicant attests that all information contained here is true.

Name_____________________________________Date_____________