(PLEASE PRINT) 

 

Name_____________________________________________________________________________

 

Home Address______________________________________________________________________ 

 

City_________________________________________State______Zip Code____________________ 

 

Home Email________________________________________________________________________

 

Home Phone_____________________________ Cell Phone_________________________________ 

 

School Name ______________________________________________________________________ 

 

School Phone Number_______________________________________________________________

 

School Email_______________________________________________________________________

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Please check the ONE scholarship choice being applied for: 

• Rank II (Master’s degree)                         o  Rank I (beyond Master’s degree) 

oClassified to the Classroom                          o  National Board Certification (NBCT)   

 

ALL APPLICANTS MUST: 

• Be a BCEA member  

• Provide proof of enrollment in a continuing education program. [Appropriate example of proof would be: copy of a transcript, receipt of tuition payment on institution letterhead (easily obtained online), current course schedule] 

  •   Scholarships will be awarded by random drawing.    One Scholarship per school year per person only.          

 

Winter 2021:   

o    Four (4) $500 Scholarships for Rank III seeking Rank II, Rank II seeking Rank I or for NBPTS (National Board) Certification   

•      Deadline for Fall 2022 Application is due by 4 PM on Monday, October 3, 2022.

•      NO email applications accepted 

• Please submit application and proof of enrollment by pony to:  Kelly Read c/o BCEA at Central Office or mail directly to: 

 

Boone County Education Association 

75 Cavalier Blvd.  Suite 324 

Florence, KY  41042-3963