Please fill out and submit the information below to apply for Teach North Texas Scholarships. The deadline to submit your application is Monday, February 28, 2022 by midnight CST. If you have any questions about this form please contact us by email at: TNTScholarships@unt.edu or by phone at: 940-565-2265. Applicant Information First Name * Last Name * UNT Student ID# * UNT Email * Date of Birth * Year19231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Year MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Gender * - Select -FemaleMaleOther Option Specify Gender: Ethnicity * - Select -African AmericanAsianCaucasianHispanicNative AmericanOtherI prefer not to answer Specify Ethnicity: Local Address Street * Street 2 City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming Zip * Permanent Address (if different from local address) Street Street 2 City State/Province Country Zip/Postal Code Academic Information Major * - Select -BiologyBiochemistryChemistryPhysicsMathematicsInformation TechnologyComputer ScienceInterdisciplinary Studies MathematicsInterdisciplinary Studies ScienceOther Specify Major: Target Certification Field * - Select -7-12 Life Science7-12 Chemistry7-12 Mathematics6-12 Physical Science7-12 Mathematics/Physics7-12 Computer Science4-8 Mathematics4-8 Science Current Classification * - Select -FreshmanSophomoreJuniorSenior Expected Graduation * Year2023202420252026202720282029 Year MonthJanFebMarAprMayJunJulAugSepOctNovDec Month Day12345678910111213141516171819202122232425262728293031 Day Current UNT GPA * Did you transfer to UNT from another institution? * Yes No Application Data Share a meaningful learning experience you have had in an academic class or in a K-12 school that helped affirm, challenge, or shape who you want to be as an educator. * Please list any current financial circumstances you are facing that could potentially prevent you from obtaining your teaching certification. Please upload a copy of page 1 of your completed Student Aid Report from your current year FAFSA indicating federal acceptance of your aid application. * You do not have to be eligible to receive federal grants to be deemed financial aid eligible. You MUST provide proof of federal acceptance of your FAFSA. NOTE: Emerald Eagle Scholars are ineligible for receipt of TNT Scholarships as full cost of attendance funding is provided through the Emerald Eagle program. More informationFiles must be less than 10 MB. Allowed file types: gif jpg jpeg png bmp pdf. Upload You must read and agree to the following statements to qualify for receipt of a Teach North Texas scholarship. I certify all of the information included in this application is true and complete to the best of my knowledge. * I agree I certify I meet and will maintain the eligibility requirements for receipt of the scholarship. Requirements include maintaining a 2.5 or higher cumulative GPAand satisfactory progress in the Teach North Texas program. * I agree I understand that active enrollment in the Teach North Texas program is required for receipt of scholarship funds. * I agree I understand acceptance of this award will require me to submit a thank you letter to the donor and may require participation in additional appreciation activities. * I agree I certify that I am able to pass all criminal background checks which are conditions for field experience and employment in Texas public schools. * I agree I authorize exchange or disclosure of information among UNT, school districts, and the State Board for Educator Certification, the Texas Education Agency, and other entities relating to teaching or working with children and/or participating or cooperating in teacher certification programs such as information related to my application, suitability for internship, employment, admission, status, good standing or continuation as an applicant, university student, or school employee before or after acceptance in any of those categories. * I agree I understand this scholarship award will not be reflected in my current financial aid packaging and that receipt of this award may affect eligibility for other financial aid awards and/or affect financial aid award amounts. I understand I am strongly urged to contact UNT Student Financial Aid and Scholarships located on the first and second floors of the Eagle Student Services Center to discuss the impact of receipt of this award. * I agree I affirm that I wish to submit application for a Teach North Texas scholarship and agree to the stipulations and requirements for receipt of a Teach North Texas scholarship. * I agree Submit
