Wayne and Karyn Clark Scholarship Application
Current seniors attending a North Carolina public or private high school, who intend to enter a North Carolina state-supported university in an education, technology or engineering related field, may apply for the $500.00 Wayne and Karyn Clark Scholarship. Recipients will be recognized at the North Carolina TSA State Conference. Preference is given to active NCTSA members and /or education related fields.
Email *
What is your first name? *
What is your last name? *
What is your preferred name? *
What is the phonetic pronunciation of your name? 
Please provide a non-school email address. *
Cell Phone Number *
What is your mailing address? Be sure to include city, state & zip code. *
Current High School  *
Weighted GPA *
Non Weighted GPA *
Provide a list of CTE Courses that you have taken in High School *
Are you currently a member of a local TSA chapter? *
Intended Major in College *
School that you will be attending in the fall. *
How will this scholarship impact you?  (1000 character maximum) *
How has TSA impacted you?  (1000 character maximum)
List any activities, clubs, sports, and obligations you have been involved in during your high school career.  Be very specific and detailed with your answer. *
List any leadership positions that you have held during your high school career.  Be very specific and detailed with your answer. *
Name and email of 2 references. References should include at least one current or former teacher and a professional/service organization reference. *
If selected, I will be able to attend the Awards Recognition at the North Carolina TSA State Conference on April 20, 2024 at 9:00 AM *
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