Personal Information:

First Name*:   

Middle Initial:

Last Name*:    

Address Line 1*:          

Address Line 2:  

City*:          

State*:        

Zip*:             

Telephone*:   

Fax:

Email*:    

Occupation*: Teacher or Administrator

School Information

Name of School*:   

County*:

Principal’s Name*:   

Terms and Conditions: 

1. Applications must be received by 5 PM EST on March 7, 2008 in order to be considered for the scholarship.
2. Winners will be selected randomly in a drawing by CEPI, and notified by mail no later than March 14, 2008.
3. Limit one application per person.
4. Attendees of the 1st, 2nd, 3rd, 4th and 5th Annual conferences are not eligible to apply.
5. Only those applications submitted online will be accepted. Registration implies complete acceptance of the terms and conditions.
6. Scholarship funds will be payable to the winners’ schools and earmarked for use towards conference expenses such as registration fees, hotel, meals and travel.
7. Any remaining funds may only be used towards other teacher training programs. Use of scholarships funds in a manner other than described here-in is strictly prohibited.
8. Some restrictions may apply.

  I have read the terms and conditions of this scholarship application and hereby accept them.