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Title
Mr.
Mrs.
Miss
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How did you learn about this scholarship opportunity?
Has your mother/father/guardian been employed or contracted at Janus/INTECH/Perkins for two years as of April 15, 2016?
Yes
No
Student ID Number
Education - Please select one:
I am a high school senior
I am studying to take the General Education Development Test (GED)
I am studying part-time at a two- year or four-year post-secondary school
I am studying full-time at a two- year or four-year post-secondary school
Currently I am not enrolled in school but plan to enroll in classes in the fall
Will you be working toward a K-12 teaching certificate or following a course of study in social work with an emphasis on assisting children and young adults?
Yes
No
Major
Current Employer:
Do you plan to attend Operation Stimulus in January, 2015?
Yes
No
How many credits do you plan to complete during the fall 2016 semester?
Please enter a whole number—no decimals or other symbols.
Are you enrolled or planning to enroll in a master’s or doctorate level program in Early Childhood Education, Child Development, Educational Psychology, or an equivalent program with coursework focusing on early childhood education?
Yes
No
Are you a U.S. citizen or permanent legal resident?
Yes
No
If yes, where do you plan to work while attending college?
Are you intending to pursue a science, mathematics, or engineering degree at a college or university in the United States?
Yes
No
Are you a first-generation college student?
Yes
No
Will you work this summer or during the school year?
Yes
No
What school district do you teach in?
Name of the course, seminar, or workshop that you would like to attend:
Program dates and location:
Are you an African American student?
Yes
No
Will you only be able to attend the program if you receive full, or a certain amount of, funding? Approved proposals may be funded partially or in full depending upon the number of applications received and the amount available to award. So that the selection committee does not allocate money that an individual will not be able to use, please note here if you will only be able to attend the program if you receive full, or a certain amount of, funding.
Have you received funding from this scholarship program before?
Yes
No
Which parent is employed at Janus Capital Group?
Is he/she employed by Janus, INTECH or Perkins?
Janus
INTECH
Perkins
What is his/her title?
Has your mother/father/guardian been employed or contracted at Janus/INTECH/Perkins for two years as of April 16, 2015?
Yes
No
Do you plan to work while attending college?
Yes
No
Have you accrued student loan debt from previous years in college? If yes, provide amount.
Name of the county you live in:
Have you applied for this scholarship in the past?
Yes
No
Father's Name
Mother's Name
Current Title:
Are you a U.S. citizen or permanent legal resident?
Yes
No
Please check one:
I attended the University of Arizona during the spring 2015 semester.
I attended a different college/university during the 2015-2016 academic year and am transferring to the University of Arizona
I graduated (or will graduate) from high school in the spring of 2015
I did not attend school during the 2014-15 academic year but am enrolled for fall 2015
Date you began or will begin classes at the University of Arizona (month/year):
For the 2015-2016 academic year, I will be classified as a:
Resident living with parent
Resident living in UA housing
Resident living off-campus or independently
Non-resident living with parent
Non-resident living in UA housing
Non-resident living off-campus or independently
I am currently:
Single
Married
Do you plan to attend Operation Stimulus in January, 2016?
Yes
No
Name of High School You Are Currently Employed By
Dates Employed (Month/Year through Month/Year)
Student Identification Number
I am currently a student in good standing and my cumulative G.P.A. is 2.5 or higher.
True
False
My financial need is similar to, or greater than, the need I had when I first applied for this scholarship.
True
False
Are you a resident of Colorado or have you been a resident for at least 2 years between January 1, 2006 and April 15, 2016?
Yes
No
Are you a resident of Colorado or have you been a resident for at least 2 years between January 1, 2006 and March 16, 2015?
Yes
No
Foster Care Information - Please check all that apply:
I am a current foster care youth
I am an emancipated youth
I was adopted from foster care after the age of 15
I am in the Independent Living Arrangement
I am in the Guardianship Assistance Program
I was in foster care until age 17 but did not emancipate
To select multiple items, hold control or command and click each one.
Have you read the Failure Fair Scholarship description on MCA Denver's website?
Yes
No
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