Teacher Scholarship Application School Grants Made Easy (SGME) Training Program (Beta Group) This application must be completed and submitted online no later than 11:59 PM Eastern Time on Monday, May 2, 2022. 1. Full Name(Required) 2. Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 3. Home Phone(Required)4. Cell Phone(Required)5. Email you access during the Week and on Weekends(Required) 6. Education(Required) High School Degree Associate Degree Bachelor's Degree Master's Degree Doctorate Indicate the highest level of education you have completed7. Total Years of Teaching Experience(Required) Completion of Questions 8-10 is voluntary. Please consider, however, that your responses will help the GMSF collect demographic data for reporting purposes only. Responses to these questions, per the Grants Made Simple Foundation’s (GMSF) Privacy Policy, will remain anonymous.8. Please select the racial category or categories with which you most closely identify. White Black or African American American Indian or Alaskan Native Asian Native Hawaiian or Other Pacific Islander Prefer Not to Answer 9. Gender Female Male Non-binary/Other Prefer Not to Answer 10. Date of BirthMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192011. Do you have access to a computer on which you may write your grant proposal(s)?(Required) Yes No 12. Do you use Microsoft Word as your word processing program?(Required) Yes No What program do you currently use?(Required) 13. Please tell us why you want to learn to write grant proposals and how you believe developing grant writing skills will help your teaching and/or your students’ learning.(Required)14. Please provide your top idea for which you would like funding, and the impact/outcomes this idea would have for your students. What item/items would be included in your budget (e.g., money to buy classroom or lab supplies; money to fund transportation for a field trip; etc.).(Required)15. Have you written any grant proposals, either alone or with colleagues?(Required) Yes No Please note that your response to this question is for informational purposes only. Previous proposal writing and/or winning grant dollars are not necessary, nor expected, in order to receive a scholarship and will not be considered when determining which applicants receive scholarships.How were you funded?Please note that your response to this question are for informational purposes only. Previous proposal writing and/or winning grant dollars are not necessary, nor expected, in order to receive a scholarship and will not be considered when determining which applicants receive scholarships.16. Name of school at which you are currently employed(Required) 17. Position/title you hold at this school (e.g., grade level taught, subject taught, etc.):(Required) 18. School Address(Required) Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 19. School Phone Number(Required)20. Print name of Superintendent or Principal who will sign this application(Required) 21. Superintendent's or Principal's Email(Required) 22. Applicant's Electronic Signature(Required)By electronically signing this form, you certify that the above information is accurate, and you agree to the Qualifications and Expectations23. Superintendent’s/Principal’s Electronic Signature(Required)By electronically signing this form, you certify that you have reviewed this application, will support the applicant completing the Qualifications and Expectations, and approve this submission.