Online Scholarship Application

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The Applegate/Jackson/Parks Future Teacher Scholarship honors three Michigan public
school teachers who were fired for no other reason than their refusal to pay union dues.

One $1,000 scholarship is awarded annually to the education student who best
exemplifies the dedication to principle and high professional standards of Carol
Applegate, Kay Jackson, and Dr. Anne Parks.

### WHO MAY APPLY

Applicants are limited to graduate or undergraduate students majoring in education in
institutions of higher learning throughout the United States. Officers, directors and
employees of the National Institute for Labor Relations Research, the National Right to
Work Committee, Members of the Selection Review Committee and their families are
not eligible.

### CRITERIA FOR SELECTION

The scholarship is awarded on the basis of scholastic ability and a demonstrated interest
in the Institute’s work. Applicants must also:

1. Demonstrate potential for the successful completion of the educational
requirements in a college or university Department of Education program and the
potential of a successful application for a teaching license; and submit a transcript of
grades.

2. Demonstrate an understanding of the principles of voluntary unionism and the
problems of compulsory unionism in relation to education by writing an original essay of
approximately 500 words.

### SELECTION PROCESS

After an initial review of the applicants by Institute staff, a Selection Review
Committee of three or more independent educators and representatives of the Institute
will review the essays and recommend the first, second and third-best essays to the
NILRR Board of Directors. At its annual meeting in April, the Board will consider the
recommendations of the Selection committee and Institute staff and then make its final
decision. If, in the opinion of the Board, no applicant meets all the criteria, a recipient
will not be selected.

The scholarship will be paid to the institution of higher learning which the recipient
plans to attend, and the recipient will be required to provide a copy of his/her transcript
from that institution at the end of the academic year.

### APPLICATION PROCEDURE

A total application consists of three parts:
1. A completed formal application;
2. A copy of the most up-to-date transcript of grades;
3. A typewritten essay of approximately 500 words clearly demonstrating an interest
in, and knowledge of, the Right to Work principle as it applies to educators.

Applications must be received between October1 and December 31.

All submissions must be postmarked by December 31.

ALL APPLICATIONS AND TRANSCRIPTS MUST BE SUBMITTED TO:
Future Teachers Scholarships
National Institute for Labor Relations Research
5211 Port Royal Road, Suite 510 Springfield, VA 22151
(703) 321-9606 research@www.nilrr.org

## Online Application:

Name: (Title, First, Middle Initial, Last)

E-Mail Address:

Date of Birth: (Month, Day, Year)
,  19

Permanent Address:

School Address:

Home Telephone Number (include area code):

Daytime Telephone Number (include area code):

Academic Information

College or University Currently Attending:

College or University To Which Scholarship Would Apply:

Course of Study:
Elementary    Secondary Education

Major/Subject Area:

Current Class Standing:

Year in School to which Scholarship Would Apply:

Current Cumulative Grade Point Average:

Activities: List any professional work experiences, extracurricular activities, and/or awards and honors

Postgraduate Plans:

List two references (exclusive of relatives and fellow students) who are most
familiar with your abilities and goals and/or experience in the field of
education.

Reference #1 – Name, Address & Phone

Reference #2 – Name, Address & Phone

Essay

Paste your application essay into the text box below:

Certification

I certify that the information provided on this application and all
supplemental forms is complete and correct to the best of my knowledge. I
further certify that if I am chosen as a scholarship recipient, I will use
those funds only for expenses related to my education in an institution of
higher learning in the United States, and I will provide a transcript at the
end of the school year for which the scholarship will apply.

Initials:

Date:

Note: This application will not be processed until an official transcript is received.