BEST Scholarship Application (BETTER EDUCATORS for SCHOOLS in TEXAS) University of Texas of the Permian Basin 1. Name: First Middle Last 2. UTPB UID#: 3. E-Mail Address: (9-digits; do NOT use SS#) 4. Other Name(s) that may appear on transcript(s): 5. Address: , , , Street/PO Box City County State Zip 6. Preferred Phone: ( ) - __ 7. Program Advisor: _____________________________________ 8. Expected Semester of Enrollment (Enter One Semester) Fall - _ Spring - Summer - Year Year Year 9. As a BEST Graduate/Post-Bac student, I intend to pursue (PLEASE CHECK ONLY ONE BOX BELOW): MA or MS Degrees Teacher Certification Master of Arts in Education Professional Certification **Must submit copy of Teacher Certification **Must submit certification plan **Must submit degree plan **Master’s degree documentation required Biology (Master of Science) EC – Grade 6 Bilingual / ESL Counseling Computer Science (Master of Science) Grades 4-8 Counseling Educational Diagnostician English (Master of Arts) Grades 8-12 Educational Leadership Principal History (Master of Arts) All Level (P.E., Music, Art & Special Ed Only) Professional Education Reading Specialist Kinesiology (Master of Science) Reading Superintendent (requires Principal certification) Mathematics (Master of Arts) Special Education Spanish (Master of Arts) 10. Do you plan to enroll in the 7 week courses offered online in the semester “II” term? (check one) Yes No 11. Are you receiving or applying for any other UTPB Scholarships and/or grants funded by UTPB? If so, please list below. ______________________________________________________________________________________________ NOTE: Each student must submit required documentation as noted above before qualifying and/or receiving scholarship! 12. BEST Scholarship Requirements (Please read and place a check next to each of the statements below) I understand that in order to qualify for and receive the BEST Scholarship, I must: Be a TE XAS resident. Submit a Graduate Application to the Office of Admissions. Remain in good standings with the Graduate Studies office. Meet all program requirements for admission to my program of choice. Complete my degree or certification program within three years without deviating from my original plan of study. SIGNATURE: ____________________________________________________ DATE: _______________ NO APPLICATIONS FOR THE CURRENT SEMESTER WILL BE ACCEPTED AFTER THE THIRD CLASS DAY!! Please submit applications to: BEST Scholarship Coordinator Please note that students in the following programs are NOT eligible for the BEST Scholarship Program: UTPB School of Education 4901 E. University MB 3215, Odessa, TX 79762 Master of Arts in Bilingual / ESL (EDBO ) online Phone: 432-552-2159; Fax: 432-552-2125 Master of Arts in Educational Leadership (EDLO) online Email: bestscholarship@utpb.edu Master of Arts in Special Education (EDSO ) online **It is YOUR responsibility to know what program you are in.