<p> Palm Beach County Council of Teachers of Mathematics Carly Littles, President [email protected]</p><p>Applicant: Please complete ALL sections of this application. Use NA if question does not apply. Please type or print neatly. </p><p>Eligibility Requirements:  The scholarship will be awarded to one graduating senior in good academic standing.  Must be pursuing a career in mathematics education.</p><p>The scholarship amount is $500.00 and is nonrenewable.</p><p>Mail complete package to PBCCTM: Gai Williams Scholarship Attention: Debbie Perry, Scholarship Chairperson 1203 N. Seacrest Blvd Boynton Beach, FL 33435</p><p>Received by March 14, 2016</p><p>I. Personal Student Name Address Telephone Email address Date of Birth Parent/Guardian Name: Relationship: Name: Relationship:</p><p>II. Scholarship High School name Anticipated Graduation Date Prospective College/University you plan on attending Major Minor</p><p>Specify Grade Point Average (GPA) below.</p><p>Cumulative GPA on a 4.0 point scale</p><p>PBCCTM Gai Williams Scholarship Application 2016 Palm Beach County Council of Teachers of Mathematics Carly Littles, President [email protected]</p><p>Student activities/clubs (Student government, National Honor Society, etc.)</p><p>Community Activities (Boys Scouts, church, etc.)</p><p>Athletics</p><p>Other</p><p>List any honors, awards, etc., you have received while in high school.</p><p>III. Additional Information Answer the following questions using only the space provided.</p><p>What has been your most important extracurricular activity? Specifically, explain how you participated in the activity? How will you use this experience in your future education? </p><p>PBCCTM Gai Williams Scholarship Application 2016 Palm Beach County Council of Teachers of Mathematics Carly Littles, President [email protected]</p><p>PBCCTM Gai Williams Scholarship Application 2016 Palm Beach County Council of Teachers of Mathematics Carly Littles, President [email protected] Why are you interested in a math education career?</p><p>What are your specific career goals after graduation? In five years?</p><p>Are any member(s) of your Name immediate family Relationship employed with The School District of Palm Beach Location/School County? Position</p><p>Applicant Signature I agree that the application and all attachments may be used for the purposes of evaluation and selection by the PBCCTM scholarship committee.</p><p>Applicant Signature Date</p><p>PBCCTM Gai Williams Scholarship Application 2016 Palm Beach County Council of Teachers of Mathematics Carly Littles, President [email protected] Parent/Guardian Signature Date</p><p>PBCCTM Gai Williams Scholarship Application 2016</p>