A.

WESLEY POWELL SCHOLARSHIP FOR TEACHERS

BEFORE COMPLETING THIS FORM, PLEASE READ THE ATTACHED COPY OF THE REGULATIONS

Each candidate should complete one copy of this form. The completed Application Form and
the supporting documents listed below should be returned to Dr. Charmaine Gooden
Monteith, Jamaica Teachers’ Association, 97B Church Street, Kingston. Closing date for
application is: Friday, June 26, 2020.

The following supporting documents should be submitted with the Application Form:

1. A letter from Institution certifying that the candidate is a student.

2. Statement of grades

3. Two character references

4. Letter from Principal certifying that candidate is a member of staff and is on approved
study leave.
____________________________________________________________________________

1. Candidate’s Name: Mr/Mrs/Miss____________________________________________

2. Place and Date of Birth____________________________________________________

3. Nationality______________________________________________________________

4. Sex: Male ( ) Female ( )

5. Martial Status: Single ( ) Married ( )

6. Home Address:_________________________________________________________

7. Mailing Address: ________________________________________________________

8. E-mail Address__________________________________________________________

9 Telephone:_____________________________________________________________
 10. Educational Background

Year
Name of Institution Attended Level Qualification Received

11. Distinctions gained during your educational career

12. Teaching Experience

Institution
Date Position

13. JTA Contribution (Leadership positions and other services)

JTA Date Position

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14. List the leadership positions you have held during your career (Church,
Professional Organization, Civic Organization, Club, etc.)

Institution Date Position

15. Date you entered the Institution at which you are now studying

16. Faculty/Department

16. Duration of Programme

17. Length of Service in the Education Sector

Signature…………………………………………….

Date………………………………………………….

REGULATIONS GOVERNING THE GRANTING OF SCHOLARSHIPS

Please complete the attached form and submit it with your application.

Candidates must:

1. be a teacher and member of the Jamaica Teachers’ Association.

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2. be final year undergraduate students at the University of the West Indies, University of
Technology Jamaica (UTECH), Northern Caribbean University, The Mico University
College or any other accredited Tertiary Institution during the Academic Year 2020-2021.

3. on completion of the course, continue to teach for at least two (2) academic years.

N.B. Where recipient fails to comply with #3 of the above, such a recipient will have breached
this agreement and will be expected to refund the Association the entire amount granted
for scholarship.

I………………………………………………………….do agree to continue teaching in a school for

at least two (2) academic years on completion of my course. I further agree that, if I breach this
contract, I will refund to the Jamaica Teachers’ Association the full amount received.

Signature………………………………………….. Date………………………………….