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MBF'sCommissionerWillyGortScholarshipProgramDescriptionandApplication
Thisformmustbereturnedinitsentirety
Submitapplicationsto:LindaTheander-Adam
MiamiBaysideFoundation25SE2ndAvenue,Suite240
Miami,FL33131
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MBF’sCommissionerWillyGortScholarship
ProgramCriteria
ADMINISTRATIONOFTHEPROGRAMThe scholarship is independentlymanagedbythe Miami Bayside Foundation (MBF) whoreceivesprocesses,andevaluatesapplications.All information and academic recordssubmitted in the applicationprocess are keptinstrictconfidenceandretainedbytheMiamiBaysideFoundation.
CONDITIONSOFELIGIBILITYApplicantsmustbe:
1. Residents of Commissioner WillyGort/District1intheCityofMiami(seeattachedmap)
2. United States citizens or permanentresidents.
3. PlanningtoattendorattendingGeorgeT. Baker Technical College, LindseyHopkins Technical College, or MiamiDade College. Programs covered attheseschoolsarelistedinaddendum.
4. AllapplicantsmusthavecompletedtheFree Application for Federal StudentAid (FAFSA) unless enrolling in acertificate program below 450 hoursthatdonotqualifyforFinancialAidandthe Federal Pell Grant and/orapplicants without High SchoolDiplomaorGED.
THEAPPLICATIONPROCEDUREApplicantsmust:
1. Meetalleligibilityrequirements.2. Completetheapplication.3. Sendall applicationmaterials together
to:LindaTheander-Adam
MiamiBaysideFoundation
25SE2ndAvenue,Suite240Miami,FL33131
THESELECTIONPROCESSThe determinations will be made using theapplicants’abilitiestodemonstratededicationtoscholarship; their participationandexcellence inschool and community activities; and thestudents’personalstatementsdefininggoalsandexhibitingenergyanddedicationtoaplan.
THEACADEMICAWARDSThe MBF’s Commissioner Willy GortScholarship Program is expecting to award$200,000 in scholarships in the 2016-17academicyear.
ANNOUNCEMENT&DISTRIBUTIONOFAWARDSRecipients will be notified on a rolling basis.Awardpaymentsaremadepayabledirectlytothecollege.
RESPONSIBILITIESOFTHEAPPLICANTSApplicants to the MBF’s Commissioner WillyGort Scholarship Program should rememberthatitistheirsoleresponsibilityto:
1. Gather and submit all informationnecessary for the Miami BaysideFoundationtoselecttherecipients.
2. Ensure that all material is sent to theMiamiBaysideFoundation.
FORADDITIONALINFORMATIONContact:LindaTheander-AdamMiamiBaysideFoundation(305)[email protected]
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MiamiBaysideFoundation’sCommissionerWillyGortScholarshipProgram
1. Pleaseprintortypeallinformation.DonotforgetyourSocialSecuritynumber.2. Ifspaceprovidedisinadequate,pleaseattachadditionalpaperstotheapplication.3. School,communityandworkexperiencerelatingtothelasttwoyears.4. AlldatayousubmitinsupportofthisapplicationbecomespropertyoftheMiamiBaysideFoundation.5. Makesureyouincludealltheinformationrequired.
APPLICANTDATA
Ms.Mr.
FirstName:_____________________MI:______LastName:_____________________Suffix:____
StreetAddress:______________________________City:__________State:______ZipCode:_______
SocialSecurityNo.:______-_____-______HomePhone:__________________
CellPhone:_________________Email:_____________________________________
PARENTDATA(ifunder21)
Ms.Mr.Mrs.
FirstName:_____________________MI:______LastName:_____________________Suffix:____
WorkPhone:__________________HomePhone:________________CellPhone:________________
Email:_____________________________________________________________
Ifdifferentfromapplicant’saddress
StreetAddress:___________________________City:____________State:____ZipCode:________
HIGHSCHOOLDATA(Ifgraduatedinlast12months)
CumulativeGPA:_________(onaunweighted4.0scale)Rankinclass:_______outof_______
SchoolName:_____________________________________SchoolPhone:___________________
StreetAddress:_________________________City:_____________State:____ZipCode:_______
Principal’sName:_______________________________________________________________
Email:________________________________________________________________________
Expectedgraduationdate:_________________________
COLLEGEDATA
WhichCollegewillyoubeorareyoucurrentlyattending:___________________________________
WhichProgram:____________________________________________________________________
Expectedstartdate:_____________________________
SPECIALNOTEApplicantsmustmeetalleligibilityrequirementsandsubmitanofficialtranscriptofgrades.
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SchoolandCommunityServiceActivitiesListallschoolandcommunityactivitiesforthelasttwoyears.
Activity Years Honors/Award
WorkExperienceListallworkexperience,partandfull-timeforthelasttwoyears.
Position FromMo/YrtoMo/Yr Hoursperweek
StatementofGoalsandAspirationsUsethisspacetowriteastatementthatreflectsyourdedicationtoscholarshipandyourparticipationandexcellenceinbothschoolandcommunityactivities.Additionally,statewhyyouwishtocontinueyoureducation;defineyoucareergoalsandyourplanforachievement.
Thesignaturesbelowaffirmthatalltheinformationprovidedinthisapplicationandsupportingdocumentsistrueandcompletetothebestofourknowledge.Ifrequested,wewillprovideproof.Failuretodososhallinvalidatethisapplicationandresultintheterminationofanyaidgranted.SignatureofApplicantDateSignatureofParent/GuardianDate Ifunder21_______________________________________________________SignatureofPrincipal(IfgraduatedfromHighSchoolin2016)DateYourrequestbecomesvalidonlywhenthisapplicationandallsupportingdocumentsaresubmittedtotheMiamiBaysideFoundation.
Addendum1
SchoolApplicationInformationMiamiDadeCollegeApplyonline:https://sisvsr.mdc.edu/admission/AdvisorsareavailabletoassistyoubyprovidinggeneralinformationaboutMDC'sprogramsandservices.
• Call:305-237-8888• Mon-Thu,8am-7pm;Fri,8am-4:30pm• Email:[email protected]
LindseyHopkinsTechnicalCollege
Website:http://lindsey.dadeschools.net/
Location:750NW20thSt,Miami,FL33127
ToapplyyouhavetogototheschoolinpersonandbringyourFloridaIDandproofthatyoubeenaresidentfor12months.Sufficientdocumentationof12monthsresidencyincludesdriverlicense,carregistration,leaseagreementoraW2.
AdvisorsareavailabletoassistyoubyprovidinggeneralinformationaboutLindseyHopkinsTechnicalCollege’sprogramsandservices.
• Call:3053246070ext.7070
GeorgeT.BakerAviationTechnicalCollege
Website:http://bakeraviation.dadeschools.net/default.asp
Location:3275N.W.42ndAvenueMiami,FL33142
ToapplyyouhavetogototheschoolinpersonandbringyourFloridaIDandproofthatyoubeenaresidentfor12months.Sufficientdocumentationof12monthsresidencyincludesdriverlicense,carregistration,leaseagreementoraW2.
AdvisorsareavailabletoassistyoubyprovidinggeneralinformationaboutGeorgeT.BakerAviationTechnicalCollege’sprogramsandservices.
• Callmainoffice:(305)8713143
Addendum2
ListofProgramsGeorgeT.BakerAviationTechnicalCollege:AircraftAirframe&PowerplantTechnician***AvionicsTechnician***LindseyHopkins:I470203 AirConditioning,RefrigerationandHeatingTechnologyC410400 CabinetmakingI460312 ElectricityI480203 CommercialArtTechnologyK500100 FashionTechnologyandProductionServicesE300100 EarlyChildhoodEducationH170106 DentalAssistingH170692 PatientCareAssistant***H170302 Phlebotomy***H170605 PracticalNursingH170211 SurgicalTechnology*N100500 CommercialFoodsandCulinaryArts*V200404 NutritionandDieteticServices***N900100 DieteticManagementandSupervision***I120424 FacialsSpecialty***I120414 NailsSpecialty***Y100200 ComputerSystemsandInformationTechnology*I470608 AutomotiveServiceTechnology*- MarineServiceTechnology*MiamiDadeCollegeAssociateDegrees:1252080100FinancialServices1252090100HospitalityandTourismManagement1252140100MarketingManagement1351080601PhysicalTherapistAssistant1351080800VeterinaryTechnology1351091200PhysicianAssistant1351100405MedicalLabTechnology1351380100NursingRN1511090103NetworkingServicesTechnology1552020102OfficeAdministration1611080102DigitalMedia/MultimediaTechnology1611080300GraphicsTechnology1615040101BiomedicalEngineeringTechnology1626120100Biotechnology1650060213FilmProductionTechnology1743020100FireScienceTechnology(FESHEModel)
Addendum2
CollegeCreditCertificate-HealthSciences:63028 EmergencyMedicalTechnician63029 HealthcareInformaticsSpecialist63016 NuclearMedicineTechnologySpecialist63027 ParamedicCollegeCreditCertificate:65077 AccountingTechnologyManagement65078 AddictionStudies66030 AirCargoManagement63012 Airline/AviationManagement63017 AirportManagement68000 Automation65045 BankingManagement65044 BankingOperations65043 BankingSpecialist60002 Biotechnology66025 BuildingConstructionSpecialist65098 BusinessEntrepreneurship65097 BusinessEntrepreneurship-SocialEntrepreneurship65041 BusinessManagement-Management65042 BusinessManagement-SmallBusinessManagement65021 BusinessOperations-Accounting/Budgeting65022 BusinessOperations-BusinessManagement65024 BusinessOperations-Finance65025 BusinessOperations-HumanResources65026 BusinessOperations-InternationalBusiness65027 BusinessOperations-Marketing65031 BusinessOperations-SmallBusiness65010 BusinessSpecialist-Accounting/Budgeting65011 BusinessSpecialist-BusinessManagement65013 BusinessSpecialist-Finance65014 BusinessSpecialist-HumanResources65015 BusinessSpecialist-InternationalBusiness65016 BusinessSpecialist-Marketing65020 BusinessSpecialist-SmallBusiness65059 ChefApprentice66050 CiscoCertifiedNetworkAssociate(CCNA)66070 ComputerAidedDesignAssistant66071 ComputerAidedDesignOperator66045 ComputerProgrammer-BusinessApplications66036 ComputerProgrammer-MobileApplicationsDevelopment66033 ComputerSpecialist66072 CrimeSceneTechnician65060 CulinaryArtsManagementOperations60004 EarlyChildhoodEducation-Administrator60003 EarlyChildhoodEducation-Preschool69000 EducatorPreparationInstitute65099 Entrepreneurship63024 FloridaFuneralDirector
Addendum2
65051 Food&BeverageManagement65058 FoodandBeverageOperations65057 FoodandBeverageSpecialist66037 HelpDeskSupportTechnician66074 HomelandSecurity63025 HorticultureProfessional63026 HorticultureSpecialist67014 Infant/ToddlerSpecialization66044 InformationTechnologySupport68011 IntermodalFreightTransportation68010 InternationalFreightTransportation64051 InterpretationStudies68001 LeanManufacturing65008 MarketingOperations66032 MicrocomputerRepairer/Installer66046 MicrosoftCertifiedDatabaseAdministrator62004 MortgageFinance66035 NetworkServerAdministration66034 NetworkSystemsDeveloper66048 OracleCertifiedDatabaseAdministrator66049 OracleCertifiedDatabaseDeveloper66028 PassengerServiceAgent65048 RoomsDivisionManagement65056 RoomsDivisionOperations65055 RoomsDivisionSpecialist64050 TranslationStudies66051 WebDevelopmentSpecialistAdvancedTechnicalCertificate:C6028 BiotechnologyC6029 Biotechnology-BioinformaticsC6030 Biotechnology-ChemicalTechnologyC6027 CertifiedFlightInstructorCareerTechnicalCertificate:59002 AirConditioning,Refrigeration,&HeatingTechnologiesApprenticeship57003 BailBondAgent55023 BusinessComputerProgramming56004 CommercialArtTechnology57014 CommunityServiceOfficer/PoliceServiceAide57020 CorrectionalOfficer-County57021 CorrectionalOfficer-State57016 CrossoverfromCorrectionalOfficertoLawEnforcementOfficer59000 ElectricityApprenticeship56002 ElectronicTechnology57004 FireFighterMinimumStandards59001 FireSprinklerApprenticeship57022 FloridaCMSLawEnforcementBRT
Addendum2
52001 InsuranceMarketing53029 MassageTherapy-AcceleratedOption53029 MassageTherapy-GenericOption53029 MassageTherapy-TransitionalOption53027 MedicalAssisting53028 MedicalCoder/Biller53026 MedicalRecordTranscribing57024 NationalParksService-SeasonalLawEnforcementTrainingProgram(SLETP)55024 NetworkSupportServices55022 PCSupportServices53025 PharmacyTechnician53024 PhlebotomyTechnician59004 PlumbingApprenticeship57023 PrivateInvestigatorIntern57006 PrivateSecurityOfficer59003 SheetMetalFabricationTechnology-Apprenticeship56008 TelevisionProduction- TrainingforManufacturedConstruction(TRAMCON)**** AvailableforstudentswithoutaHighSchoolDiplomaorGED** Programisashort-termcertificateprogramoflessthan450hours*** ApplicantswithoutahighschooldiplomaorGEDmustpasstheTestforAdultBasicEducation
(TABE)inordertoenrollinprogram
