Application for Teacher Study Abroad Scholarship

READ ALL DIRECTIONS FIRST.
 Failure to do so will result in your application not being accepted.

1. Submit this online form only ONCE. Multiple submissions will not be accepted.

2. Answer all items completely.

3. Submit other parts of the application via email as instructed on the online application form.


A red asterisk (*) indicates required questions.

  1. What is your first name?*


  1. What is(are) your last name(s)?*


  1. What is your home street address?*


  1. What is the name of your city/town?*


  1. In what state do you live?  *


  1. What is your zip code?*


  1. What is your telephone number formatted as follows with the area code in parenthesis?
    (XXX) XXX-XXXX *


  1. What is your email address?*


  1. Are you a citizen of the United States?*
    Yes
    No


  1. Do you hold a valid US passport?*
    Yes
    No


  1. Do you hold a foreign passport?*
    Yes
    No


  1. If yes, from what country? If no, skip to the next question.


  1. For which scholarship are you applying?  *


  1. What is the name of the school where you teach?*


  1. What is the address of your school?*


  1. In what city/town is your school located?*


  1. In what state is your school located?  *


  1. What is your school's zip code?*


  1. What is your main telephone number of your school formatted as follows with the area code in parenthesis?
    (XXX) XXX-XXXX *


  1. In what type of school do you teach?  *


  1. Which of the following Spanish-speaking countries have you visited?*
    Argentina
    Bolivia
    Chile
    Colombia
    Costa Rica
    Cuba
    Dominican Republic
    Ecuador
    El Salvador
    Equatorial Guinea
    Guatemala
    Honduras
    Mexico
    Nicaragua
    Panama
    Paraguay
    Peru
    Puerto Rico
    Spain
    Uruguay
    Venezuela
    None of the above


  1. In which of the following Spanish-speaking countries have you studied for more than 2 weeks?*
    Argentina
    Bolivia
    Chile
    Colombia
    Costa Rica
    Cuba
    Dominican Republic
    Ecuador
    El Salvador
    Equatorial Guinea
    Guatemala
    Honduras
    Mexico
    Nicaragua
    Panama
    Paraguay
    Peru
    Puerto Rico
    Spain
    Uruguay
    Venezuela
    None of the above


  1. List any non-Spanish-speaking countries that you have visited.*


  1. List any non-Spanish-speaking countries in which you have studied.*


  1. Approximately how many months have you studied abroad in a Spanish-speaking country?  *


  1. Including this year, how many years have you taught Spanish?  *


  1. How many years have you been giving the National Spanish Examinations? 


  1. What is your primary reason for administering the National Spanish Examinations?*


  1. Click the Spanish courses that you are teaching during the current academic year:*
    Elementary Spanish - Grades K-3
    Elementary Spanish - Grades 4-6
    Spanish I - Grade 7
    Spanish I - Grade 8
    Spanish I
    Spanish II
    Spanish III
    Spanish IV
    Spanish V
    Spanish VI
    AP Spanish Language
    AP Spanish Literature
    IB Spanish SL
    IB Spanish HL


  1. Are you a full-time Spanish teacher?  *


  1. If you do not teach Spanish full time, list the other courses that you are currently teaching.


  1. The scholarship covers the cost of tuition, room and board. If you are awarded this scholarship, do you agree to purchase your own airfare from your home airport to the scholarship destination?*
    Yes
    No


  1. Why are you applying for the Teacher Study Abroad Scholarship?





Kevin Cessna-Buscemi