2014-2015 Choose Ohio First Scholarship Application For STEMM majors (Science, Technology, Engineering, Mathematics, Medicine) Eligibility Minimum selection criteria include: 1. 2. 3. 4. 5. 6. Complete this application Declared Major in a STEMM discipline Cumulative GPA at least 3.0 Ohio Resident High School diploma or acceptable equivalent Submit the Choose Ohio First Scholarship Application and all requirements/ attachments (Deadline: September 19, 2014) a. Submit a completed Edison admissions application b. Complete a COF essay titled, “Why I am interested in a STEMM discipline.” c. Complete any required COMPASS testing or submit ACT scores. 7. This scholarship pays for tuition and fees (other than lab fees) only 8. Requires Edison enrollment of at least 6 credit hours 9. For renewal, planned participation in a “Learning‐by‐Doing” experience as certified by the appropriate Academic Dean Specific Applicant Information Renewal Application Initial Application (enter Applicant Info below, sign, and follow the instructions found at the end of this application) Student Name: Student ID: Date of Birth: E‐Mail Address: Street Address: City, State, Zip: County: Home Phone: Cell Phone: Indicate Your Intended STEMM Discipline AA/AS MAJORS Science Pre‐Med Computer Information Engineering Pre‐Nursing (BSN) Math Science or Math Education AAB MAJORS CIT/Business Systems CIT/Systems Administrator CIT/Programming CIT/Network & Computer Security CIT/Network & Computer Management CIT/Computer Games & Simulation Program &Design OSA/Medical Office Support List Approved Other Below: -1- AAS MAJORS CRJ/Computer Forensics EET/Automation & Robotics EET/Electronics Transfer IMT/Industrial Operations IMT/Supply Chain Management MET/Advanced Manufacturing Systems MET/Mechanical Design MET/Mechanical Transfer Medical Laboratory Technician Physical Therapist Assistant Registered Nursing LPN/ADN Transition Pre-MLT-Medical Lab Technician Pre‐Nursing Pre‐PTA‐Physical Therapist Assistant Updated August 2014 Work Experience/Activities (list work, school, community activities, offices held, etc) (continue on separate sheet of paper if necessary) Indicate Appropriate Status (choose one) Former PSEOP student (submit HS transcript) First time college student (submit HS transcript) Returning Edison Student Transfer from another college or university; list all past colleges below (submit college transcript(s)) Applicant Certification and Signature I authorize the release of all scholarship materials, including essays, transcripts, and testing scores to the members of the Edison Scholarship Committee. If I am awarded a scholarship, I agree to abide by all the conditions of that scholarship. I understand that if I fail to attend or officially withdraw from my classes my scholarship disbursement will be removed from my account and I may be required to pay any resulting balance due on my Edison account. I understand that this scholarship is for the Fall and Spring Semesters and that I must request renewal for future award years if I continue to meet all eligibility criteria. I understand that this scholarship is not disbursed for summer and that some scholarships will not disburse if tuition and other costs are all covered by Financial Aid or other funding. I certify that, to the best of my knowledge and belief at the time and date I have signed below, all information listed on this application and all required attachments is true and accurate. The awarding of this scholarship is pending the continuance of state funding. Student Signature: Date: I authorize Edison Community College permission to release appropriate publicity upon the award of this scholarship. Student Signature: Date: Renewal Applications Only If all eligibility criteria are being successfully met, submit a written essay (maximum of 500 words) titled “How I plan to fulfill the learning‐by‐doing requirements in my STEMM discipline” to the appropriate Academic Dean or Faculty Member for review and signature. Once signed, submit the essay and this application to Student Services for further review. Appropriate Academic Dean or Faculty Member Signature Date Submit Completed Application To: Financial Aid Office, Edison Community College, 1973 Edison Drive, Piqua, OH 45356 -2- Updated August 2014
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