2015 WEA National Board Jump Start Needs-Based Scholarship Application

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WEA strives to provide equal access for all members to attend their National Board Jump Start. Lack of personal financial resources should not be a barrier for participation. Please complete this survey if you are a WEA member seeking additional resources to further offset your Jump Start costs.

Please Note: Scholarships are intended for those members with a demonstrated financial need who do not have additional support from their schools, districts or associations. All scholarship recipients will still be expected to personally pay some portion of the registration fee.

If you are applying for financial assistance with your Jump Start fee, please select the "Pay by Check" option when registering for your Jump Start session as we are unable to issue partial refunds to those who have already paid with a credit card.

This application should take approximately 5 minutes to complete. Your responses will be kept confidential and will not be used for any purpose other than to determine eligibility for financial assistance for the 2015 WEA National Board Jump Start seminars. When registering for Jump Start please select the "Pay by Check" option and wait for our notification of the amount you will need to pay.

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* 1. Please tell us your name:

First Name

Last Name

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* 2. What is your preferred email address?

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* 3. If you have a secondary email address please enter it here:

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* 4. Please enter your WEA membership ID:

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* 5. Which seminar will you be attending?

Spokane (June 22 - 25, 2015)

Lake Stevens (July 27-30, 2015)

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* 6. For which components are you registering? (Check all that apply.)

Foundations 1 & 2

Component 1 - Content Knowledge

Component 2 - Differentiation in Instruction

Component 3 - Teaching Practice and Learning Environment

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* 7. Please give us the name of your WEA local association:

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* 8. Please tell us the name of your school:

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* 9. Do you work in a Challenging or Title I school?

Yes

I'm not sure

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* 10. Have you sought assistance for Jump Start from other sources (e.g., your school, district, local association, etc.)?

Yes

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* 11. If you answered 'Yes' please describe your efforts:

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* 12. How much do you project that you will pay out of your personal funds for total certification expenses, excluding any costs associated with the Jump Start?

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* 13. How much do you project that you will pay out of your personal funds to attend Jump Start (e.g., travel, lodging, etc)?

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* 14. Please briefly describe your need for additional financial resources to participate in the Jump Start seminar:

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* 15. Of the total Jump Start registration fee, how much would you be comfortably able to contribute yourself? (Please Note: it is only under very unique circumstances that we will award a scholarship covering the full registration amount; most scholarships awarded are partial grants.)