Special Education Teacher Scholarship

1. Demographic Data

2. Personal Aspirations

3. Schooling

4. Involvement

Please provide no more than five (5) programs and/or activities you have been involved in either inside or outside of your high school. Please list in descending order of significance. It is acceptable to leave lines blank in the event that there are no more activities to record.

Please Include "Name", "Description" and "Dates Participated" for each.

5. Awards

Please provide no more than five (5) awards or recognitions you have been given either inside or outside of your high school. Please list in descending order of significance. It is acceptable to leave lines blank in the event that there are no more awards or recognitions to record.

Please Include "Name", "Description" and "Provider" for each.

6. Teacher/Counselor

This section is for the individual who helped the special education student complete this application.

Mailing Address:
ClaimAid
8141 Zionsville Rd
Indianapolis, IN 46268
Attn: IA Schools Scholarship