Choose Ohio First Scholarship Application

2014-2015
Choose Ohio First Scholarship Application
For STEMM majors (Science, Technology, Engineering, Mathematics, Medicine)
Eligibility
Minimum selection criteria include:
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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:
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 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
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Updated August 2014