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MBF's Commissioner Willy Gort Scholarship Program
Description and Application
This form must be returned in its entirety
Submit applications to:Education Department
Miami Bayside Foundation 25 SE 2nd Avenue, Suite 240
Miami, FL 33131
Page 2 of 5
MBF’s Commissioner Willy Gort Scholarship
Program Criteria
ADMINISTRATION OF THE PROGRAM The scholarship is independently managed by the Miami Bayside Foundation (MBF) who receives processes, and evaluates applications. All information and academic records submitted in the application process are kept in strict confidence and retained by the Miami Bayside Foundation.
CONDITIONS OF ELIGIBILITY Applicants must be: 1. Residents of Commissioner Willy
Gort/District 1 in the City of Miami (see attached map).
2. United States citizens or permanentresidents.
3. Planning to attend or attending George T.Baker Technical College, Lindsey HopkinsTechnical College, or Miami Dade College.Continuing/already enrolled students at thethree colleges must have a minimumcumulative GPA of 2.5 to qualify. Onceaccepted, you must achieve a 2.5 GPA eachterm to remain in the program. Programscovered at these schools are listed inaddendum.
4. All applicants must have completed theFree Application for Federal Student Aid(FAFSA) unless enrolling in a certificateprogram below 450 hours that do notqualify for Financial Aid and the Federal PellGrant and/or applicants without HighSchool Diploma or GED.
THE APPLICATION PROCEDURE Applicants must: 1. Meet all eligibility requirements.2. Complete the application.3. Send all application materials together to:
Education DepartmentMiami Bayside Foundation 25 SE 2nd Avenue, Suite 240
Miami, FL 33131
THE SELECTION PROCESS The determinations will be made using the applicants’ abilities to demonstrate dedication to scholarship; their participation and excellence in school and community activities; and the students’ personal statements defining goals and exhibiting energy and dedication to a plan.
THE ACADEMIC AWARDS MBF’s Commissioner Willy Gort Scholarship Program is expecting to award $200,000 in scholarships in the 2018-19 academic year. The scholarship covers the tuition, fees, and course material for eligible students. An additional stipend of $500 per trimester will be available for students who qualify.
ANNOUNCEMENT & DISTRIBUTION OF AWARDS Recipients will be notified on a rolling basis. RESPONSIBILITIES OF THE APPLICANTS Applicants to the MBF’s Commissioner Willy Gort Scholarship Program should remember that it is their sole responsibility to: 1. Gather and submit all information
necessary for the Miami BaysideFoundation to select the recipients.
2. Ensure that all material is sent to the MiamiBayside Foundation.
CONTACT FOR ADDITIONAL INFORMATION [email protected] (786)703-5764
Page 3 of 5
Miami Bayside Foundation’s Commissioner Willy Gort Scholarship Program
1. Please print or type all information. Do not forget your Social Security number.
2. If space provided is inadequate, please attach additional papers to the application.
3. School, community and work experience relating to the last two years.4. All data you submit in support of this application becomes property of the Miami Bayside Foundation.
5. Make sure you include all the information required.
APPLICANT DATA
Ms. Mr.
First Name:______________________ MI:______ Last Name:______________________ Suffix:_____
Street Address:______________________________ City:__________ State:______ Zip Code:_______
Social Security No.:______-_____-______ Home Phone:__________________ DOB:_______________
Cell Phone:_________________________ Email:___________________________________________
PARENT DATA (if under 21)
Ms. Mr. Mrs.
First Name:_____________________ MI:______ Last Name:_____________________ Suffix:____
Work Phone:__________________ Home Phone:________________ Cell Phone:________________
Email:_____________________________________________________________
If different from applicant’s address
Street Address: ___________________________ City: ____________ State: ____ Zip Code:________
HIGH SCHOOL DATA (If graduated in last 12 months)
Cumulative GPA: _________ (on a unweighted 4.0 scale) Rank in class:_______ out of_______
School Name: _____________________________________ School Phone: ___________________
Street Address: _________________________ City: _____________ State: ____ Zip Code:_______
Principal’s Name: _______________________________________________________________
Email: ________________________________________________________________________
Expected graduation date: _________________________
COLLEGE DATA
Which College will you be or are you currently attending:___________________________________
Which Program: ____________________________________________________________________
Expected start date: _________________ Expected Graduation/Completion Date:_______________
SPECIAL NOTE
Applicants must meet all eligibility requirements and submit an official transcript of grades.
Page 4 of 5
School and Community Service Activities List all school and community activities for the last two years.
Activity Years Honors/Award
Work Experience List all work experience, part and full-time for the last two years.
Employer/Position From Mo/Yr to Mo/Yr Hours per week
Statement of Goals and Aspirations Use this space to write a statement that reflects your dedication to scholarship and your participation and excellence in both school and community activities. Additionally, state why you wish to continue your education; define you career goals and your plan for achievement.
The signatures below affirm that all the information provided in this application and supporting documents is true and complete to the best of our knowledge. If requested, we will provide proof. Failure to do so shall invalidate this application and result in the termination of any aid granted.
Signature of Applicant Date Signature of Parent/Guardian Date If under 21
_______________________________________________________ Signature of Principal (If graduated from High School in 2016) Date
Your request becomes valid only when this application and all supporting documents are submitted to the Miami Bayside Foundation.
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NW 59
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NW 2ND TER
NW 30TH ST
SW 2ND TER
NW 45TH ST
NW 49TH ST
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SW 62
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NW 36
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NW 18
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SW 64
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NW 19TH ST
NW 33RD ST
NW 37TH ST
NW 25
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NW 18
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UNNAMED
NW 24TH ST
NW 47TH TER
NW 23RD ST
NW 51ST ST
NW 21ST TER
SW 2ND TER
NW 47TH TER
NW 19TH TER
NW 31ST ST
NW 44TH ST
NW 47TH ST
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NW 39TH ST
NW 38TH ST
NW 30
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NW 22ND ST
NW 22ND ST
NW 21ST TER
SW 5TH TER
NW 40TH ST
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NW 32ND ST
NW 6TH ST
NW 24TH ST
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NW 32ND ST
NW 28TH ST
NW 2ND TER
NW 23RD ST
SW 11TH ST
NW 35
TH C
T
NW 40
TH AV
E
NW 30TH ST
NW 41
ST AV
E
NW 20
TH AV
E
NW 21
ST C
T
NW 26
TH AV
E
NW 17TH ST
NW 29TH STNW 29TH ST
NW 45TH ST
NW 39TH ST
SW 30
TH AV
E
UNNAMED
NW 29TH TER
NW 22
ND C
T
NW 24TH STREET RD
NW 8TH ST
NW 21ST TER
NW 20
TH AV
E
NW 62
ND AV
E
NW 12TH TER
SR 112 ON RAMP W
NW 17
TH C
T
SR 836 OFF RAMP N
NW 19
TH C
T
NW 19
TH AV
E
NW 21
ST C
T
NW NORTH RIVER DR
NW 9TH ST
NW 31ST ST
I 95 ON RAMP N
FONSECA AVE
NW 5TH STNW 6TH ST
UNNAMED
VERAGUA AVE
MARABELLA AVE
NW 21ST ST
MONTILLA AVE
NW 29TH ST
NW 24
TH C
T
I 95 ON RAMP S
NW 29
TH C
T
NW 13TH ST
SR 836 OFF RAMP W
SR 112 ON RAMP W
NW 14TH ST
NW 12TH STUNNAMED
SW 51
ST C
TSW
51ST
PL
NW 26
TH AV
E
NW 27
TH C
T
NW 31ST ST
NW 24TH ST
I 95 ON RAMP
N
SW 51
ST AV
ESW
50TH
AVE
UNNAMED
NW 30
TH AV
ENW
30TH
CT
SW 48
TH C
T
SR 836 OFF RAMP S
NW 25
TH C
T
NW 23
RD PL
NW 12TH STREET DR
NW 26TH ST
NW 48
TH PL
NW 27TH ST
I 95 ON RAMP N
SR 836 ON RAMP WSR 836 OFF RAMP E
I 95 ON RAMP N
I 95 OFF RAMP W
UNNAMED
I 95 R
AMP
N
UNNAMED
NW 29
TH AV
E
NW 39
TH C
T
NW 10
TH AV
E
NW 25
TH AV
E
UNNA
MED
SW 39
TH AV
E
NW 32
ND PL
NW 31
ST AV
E
UNNAMEDUNNAMED
SW 60
TH AV
E
NW 7T
H CT
UNNA
MED
UNNA
MED
NW 23
RD AV
E
NW 62
ND AV
E
NW 36
TH AV
E
NW 5T
H AV
E
NW 21
ST AV
E
NW 4T
H CT
SW 52
ND C
T
SW 25
TH AV
E
NW 18
TH AV
E
NW 15
TH AV
ENW
15TH
CT
NW 36
TH AV
E
NW 39
TH AV
E
SW 5T
H AV
E
NW 18
TH AV
E
SW 4TH ST
NW 35
TH AV
E
NW 28
TH AV
E
NW 9T
H AV
E
SE 9T
H AV
E
NW 15
TH AV
E
SE 10
TH AV
E
SW
7TH ST
NW 15
TH AV
E
NW 49
TH AV
E
NW 37
TH AV
E
NW 48
TH AV
ESW
48TH
AVE
NW 48
TH PL
N W 6TH
AVE
NW 6T
H CT
NW 30
TH AV
E
UNNAMED
NW 13TH ST
NW 21
ST AV
E
SW 33
RD AV
E
NW 56
TH AV
E
NW 18
TH AV
E
NW 18
TH C
T
NW 42
ND C
T
SW 29
TH C
T
NW 16TH ST
SR 112 ON RAMP E
NW 11
TH P
L
MIAD CIR
SW 59
TH C
T
NW 24
TH C
T
NW 60
TH C
TNW
60TH
AVE
NW 59
TH C
T
SW 60
TH C
T
SW 67
TH C
T
NW 25
TH AV
E
SW 30
TH AV
E
SR 112 ON RAMP W
SR 112 ON RAMP
NW 23
RD CT
NW 65
TH AV
E
I 95 OFF RAMP E
SR 836 OFF RAMP N
UNNAMED
UNNA
MED
SR 836 ON RAMP W
City Boundary!(Ä Elementary School!(Ä Middle School!(Ä High SchoolIC HospitalÆL Police Station
²µ Fire Stationñ Net Service Center Office
City StreetsCity ParksWater BodiesCommission District 1
C o m m i s s i o n D i s t r i c t 1Commissioner: Wifredo (Willy) Gort
Project: District 1Prepared by: Y. Kebede, ITDC:\GISPROJECTS\REQUESTS\CommissionDistrict\Dist4_2011_10_Dist1_small
2
5
4
13
District 1
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