2024 Embark Award Application (Juniors)

The Jaidon Joseph Smith Educational Scholarship Fund provides resources and funding to deserving students in the Montgomery County Public Schools (MCPS) Gifted and Talented/Learning Disability (GT/LD) program, who overcame educational challenges to thrive at school and earn entry to a college or university. The scholarship is in memory of Jaidon, who tragically died in an automobile accident on June 9, 2021 just weeks after graduating from Walter Johnson High School.

This application is for the Embark Award ($250) and any junior (11th grader) at Walter Johnson High School, who is currently enrolled in the GT/LD program, and is preparing to apply to colleges next fall is eligible to submit.

STUDENT INFORMATION

Student Name *

First

Last

Student Email *

Please provide a NON-MCPS email so that we can communicate with you directly.

Student Phone *

Student's Preferred Method of Contact

• Email
• Cell
• Text

MCPS Student ID Number *

Home Address *

Address Line 1

Address Line 2

City

--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

PARENT/GUARDIAN INFORMATION

Parent/Guardian Name *

First

Last

Please provide us with the name of one of your parents/guardians.

Parent/Guardian Email *

Parent/Guardian Phone

Parent/Guardian's Preferred Method of Contact

• Email
• Cell
• Text

HIGH SCHOOL INFORMATION

I acknowledge that I am in 11th grade and an MCPS student currently enrolled as a senior at Walter Johnson High School in the GT/LD program *

• Yes
• No

When did you first begin in the GT/LD program? *

Date may be approximate.

What was your GPA for your first year in the GT/LD program? *

What is your current GPA? *

Please tell us about any services you received outside of the MCPS accommodations while you were enrolled in the program. *

If you received none, please indicate that as well.

Case Manager's Name *

First

Last

Guidance Counselor's Name *

First

Last

Special Needs Coordinator's Name *

First

Last

APPLICATION JUSTIFICATION

Tell us about what your plans are after you graduate high school. *

For example: Colleges interested in, Programs of study you are thinking about, Any classes or tutoring you are currently doing to prepare for applying to college, etc.

If you receive this award, how do you plan to use the money to prepare yourself for applying to college? *

Please elaborate on how you feel you have grown through being in the GT/LD program. *

(1,000 words maximum, please remember to spell check)

Submit