2024 Scholarship Application (Seniors)

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 any senior (12th grader) at Walter Johnson High School who is currently enrolled in the GT/LD program and is preparing to apply to colleges next fall. This form is to apply for both the Kickstarter Award ($500) and the Scholarship ($8,000).

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 a 12th grader 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

COLLEGE INFORMATION

Please list all College(s) you have applied to and indicate when you will hear about your application. *

For example: University of Maryland - April 1; James Madison University - Accepted

Intended College Program of Study *

APPLICATION JUSTIFICATION

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)

Please upload at least one recommendation *

Click or drag files to this area to upload. You can upload up to 5 files.

Please use the provided recommendation form to provide to recommenders. Recommendation should be from at least one teacher or staff member, to include case manager, teacher, co-teacher, guidance counselor, MCPS staff and/or Paraeducator.

Submit