mbf's commissioner willy gort scholarship …s commissioner willy gort scholarship program...
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MBF's Commissioner Willy Gort Scholarship Program
Description and Application
Pages 3 & 4 of this form must be filled out entirely
Submit applications to:
Cara Sadira
Miami Bayside Foundation
25 SE 2nd Avenue, Suite 240
Miami, FL 33131
Page 2 of 4
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 permanent residents.
3. Planning to attend or attending George T. Baker Technical College, Lindsey Hopkins Technical College, Miami Dade College or D. A. Dorsey. Continuing/ already enrolled students at the four colleges must have a minimum cumulative GPA of 2.5 to qualify. Programs covered at these schools are listed in addendum.
4. All applicants must have completed the Free Application for Federal Student Aid (FAFSA) unless enrolling in a certificate program below 450 hours that do not qualify for Financial Aid and the Federal Pell Grant and/or applicants without High School Diploma or GED.
THE APPLICATION PROCEDURE Applicants must:
1. Meet all eligibility requirements. 2. Complete the application. 3. Send all application materials together
to: Cara Sadira
Miami 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 2016-17 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 Bayside Foundation to select the recipients.
2. Ensure that all material is sent to the Miami Bayside Foundation.
FOR ADDITIONAL INFORMATION Contact: Cara Sadira
Miami Bayside Foundation (305)379-7070 Ext.204 [email protected]
Page 3 of 4
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:__________________
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: _____________________________
SPECIAL NOTE
Applicants must meet all eligibility requirements and submit an official transcript of grades.
Page 4 of 4
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.
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.
Addendum
List of Programs D.A. Dorsey Technical College: Pharmacy Technician Automotive Service Technology Computer Systems and Information Technology Medical Billing and Coding Patient Care Technician Pharmacy Technician Private Security George T. Baker Aviation Technical College: Aircraft Airframe & Power plant Technician*** Avionics Technician*** Lindsey Hopkins: I470203 Air Conditioning, Refrigeration and Heating Technology C410400 Cabinetmaking I460312 Electricity I480203 Commercial Art Technology K500100 Fashion Technology and Production Services E300100 Early Childhood Education H170106 Dental Assisting H170692 Patient Care Assistant* ** H170302 Phlebotomy* ** H170605 Practical Nursing H170211 Surgical Technology * N100500 Commercial Foods and Culinary Arts* V200404 Nutrition and Dietetic Services* ** N900100 Dietetic Management and Supervision* ** I120424 Facials Specialty* ** I120414 Nails Specialty* ** Y100200 Computer Systems and Information Technology* I470608 Automotive Service Technology* - Marine Service Technology* Miami Dade College Associate Degrees: 1252080100 Financial Services 1252090100 Hospitality and Tourism Management 1252140100 Marketing Management 1351080601 Physical Therapist Assistant 1351080800 Veterinary Technology 1351091200 Physician Assistant 1351100405 Medical Lab Technology 1351380100 Nursing RN 1511090103 Networking Services Technology 1552020102 Office Administration 1611080102 Digital Media/Multimedia Technology
Addendum
1611080300 Graphics Technology 1615040101 Biomedical Engineering Technology 1626120100 Biotechnology 1650060213 Film Production Technology 1743020100 Fire Science Technology (FESHE Model) College Credit Certificate - Health Sciences: 63028 Emergency Medical Technician 63029 Healthcare Informatics Specialist 63016 Nuclear Medicine Technology Specialist 63027 Paramedic College Credit Certificate: 65077 Accounting Technology Management 65078 Addiction Studies 66030 Air Cargo Management 63012 Airline/Aviation Management 63017 Airport Management 68000 Automation 65045 Banking Management 65044 Banking Operations 65043 Banking Specialist 60002 Biotechnology 66025 Building Construction Specialist 65098 Business Entrepreneurship 65097 Business Entrepreneurship - Social Entrepreneurship 65041 Business Management - Management 65042 Business Management - Small Business Management 65021 Business Operations - Accounting/Budgeting 65022 Business Operations - Business Management 65024 Business Operations - Finance 65025 Business Operations - Human Resources 65026 Business Operations - International Business 65027 Business Operations - Marketing 65031 Business Operations - Small Business 65010 Business Specialist - Accounting/Budgeting 65011 Business Specialist - Business Management 65013 Business Specialist - Finance 65014 Business Specialist - Human Resources 65015 Business Specialist - International Business 65016 Business Specialist - Marketing 65020 Business Specialist - Small Business 65059 Chef Apprentice 66050 Cisco Certified Network Associate (CCNA) 66070 Computer Aided Design Assistant 66071 Computer Aided Design Operator 66045 Computer Programmer - Business Applications 66036 Computer Programmer - Mobile Applications Development 66033 Computer Specialist 66072 Crime Scene Technician
Addendum
65060 Culinary Arts Management Operations 60004 Early Childhood Education - Administrator 60003 Early Childhood Education - Preschool 69000 Educator Preparation Institute 65099 Entrepreneurship 63024 Florida Funeral Director 65051 Food & Beverage Management 65058 Food and Beverage Operations 65057 Food and Beverage Specialist 66037 Help Desk Support Technician 66074 Homeland Security 63025 Horticulture Professional 63026 Horticulture Specialist 67014 Infant/Toddler Specialization 66044 Information Technology Support 68011 Intermodal Freight Transportation 68010 International Freight Transportation 64051 Interpretation Studies 68001 Lean Manufacturing 65008 Marketing Operations 66032 Microcomputer Repairer/Installer 66046 Microsoft Certified Database Administrator 62004 Mortgage Finance 66035 Network Server Administration 66034 Network Systems Developer 66048 Oracle Certified Database Administrator 66049 Oracle Certified Database Developer 66028 Passenger Service Agent 65048 Rooms Division Management 65056 Rooms Division Operations 65055 Rooms Division Specialist 64050 Translation Studies 66051 Web Development Specialist Advanced Technical Certificate: C6028 Biotechnology C6029 Biotechnology - Bioinformatics C6030 Biotechnology - Chemical Technology C6027 Certified Flight Instructor Career Technical Certificate: 59002 Air Conditioning, Refrigeration, & Heating Technologies Apprenticeship 57003 Bail Bond Agent 55023 Business Computer Programming 56004 Commercial Art Technology 57014 Community Service Officer/Police Service Aide 57020 Correctional Officer - County 57021 Correctional Officer - State
Addendum
57016 Crossover from Correctional Officer to Law Enforcement Officer 59000 Electricity Apprenticeship 56002 Electronic Technology 57004 Fire Fighter Minimum Standards 59001 Fire Sprinkler Apprenticeship 57022 Florida CMS Law Enforcement BRT 52001 Insurance Marketing 53029 Massage Therapy - Accelerated Option 53029 Massage Therapy - Generic Option 53029 Massage Therapy - Transitional Option 53027 Medical Assisting 53028 Medical Coder/Biller 53026 Medical Record Transcribing 57024 National Parks Service - Seasonal Law Enforcement Training Program (SLETP) 55024 Network Support Services 55022 PC Support Services 53025 Pharmacy Technician 53024 Phlebotomy Technician 59004 Plumbing Apprenticeship 57023 Private Investigator Intern 57006 Private Security Officer 59003 Sheet Metal Fabrication Technology - Apprenticeship 56008 Television Production - Training for Manufactured Construction (TRAMCON) *** * Available for students without a High School Diploma or GED ** Program is a short-term certificate program of less than 450 hours *** Applicants without a high school diploma or GED must pass the Test for Adult Basic Education
(TABE) in order to enroll in program
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NW 16TH TER
NW 4TH ST
NW 2ND ST
UNNAMED
SW 63
RD C
T
SW 3RD ST
SW 19TH RD
NW 16TH STNW
46TH
AVE
NW 15TH ST
NW 19TH ST
SW 1ST ST
NW 18TH TER
NW 16TH TER
NW 18TH ST
NW 4TH TER
SW 57
TH C
T
NW 41ST ST
NW 32
ND C
T
NW 33
RD C
T
ANTIQUERA AVE
NW 42ND ST
SW 7TH ST
NW 42ND ST
SW 5TH TER
NW 44TH ST
SW 9TH ST
NW 31ST ST
SW 9TH TER
NW 43RD ST
NW 9T
H CT
SW 6TH ST
SW 20
TH AV
E
SW 2ND TER
NW 24
TH C
T
SW 4TH ST
WALL
ACE
ST
SW 3RD ST
NW 13TH ST
NW 45TH ST
NW 12TH TERNW 12TH ST
UNNA
MED
SHER
IDAN
DR
NW 17
TH C
T
I 95 OFF RAMP W
ALBE
RCA S
T
SE 8TH PL
NW 57TH
CT
NW 41
ST AV
E
SW 31
ST C
T
SW 31
ST AV
E
CAPR
I ST
NW 9T
H AV
E
NW 24TH ST
CARMONA AVE
MONT
EREY
ST
NW 23
RD C
TNW
24TH
AVE
NW 24
TH C
TNW
25TH
AVE
NW 26TH ST
PIZAR
RO S
T
NW 27TH ST
NW 55
TH CT
NW 19TH ST
NW 25TH ST
NW 17
TH PL
NW 26TH ST
NW 34TH ST
NW FLAGLER TER
NW 51ST ST
NW 31ST ST
SW 4TH ST
SW 35
TH AV
E
NW 31ST ST
SW 1ST ST
NW 33RD ST
NW 44
TH AV
E
NW 32ND ST
NW 50TH ST
NW 59
TH AV
E
NW 43
RD C
T
NW 30TH ST
NW 27
TH C
T
NW 28
TH AV
E
NW 22
ND C
T
NW 51ST TER
SANT
IAGO
ST
NW 58
TH C
TNW
58TH
AVE
NW 57
TH C
T NW 4TH ST
NW 6TH ST
NW 29TH TER
NW 18TH TER
SW 11TH ST
NW 51ST ST
NW 1ST ST
NW 50
TH AV
E
NW 33RD ST
NW 51ST TER
SW 1ST ST
NW 2ND TER
NW 30TH ST
SW 2ND TER
NW 45TH ST
NW 49TH ST
NW 23RD TER
NW 27TH ST
SW 5TH ST
SW 2ND ST
NW 43RD ST
SW 62
ND C
T
NW 45TH ST
SW 3RD ST
NW 36
TH AV
E
NW 48TH TER
SW 1ST ST
NW 18
TH AV
E
NW 26TH ST
SW 64
TH C
T
NW 37TH ST
SW 3RD ST
NW 27TH ST
NW 48TH ST
SW 1ST ST
UNNA
MED
SE 10
TH C
T
NW 19TH ST
NW 33RD ST
NW 37TH ST
NW 25
TH AV
E
NW 35TH TER
NW 18
TH C
T
NW 33RD ST
NW 49TH ST
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
RAGA
N DR
NW 44TH ST
NW 39TH ST
NW 38TH ST
NW 30
TH PL
NW 22ND ST
NW 22ND ST
NW 21ST TER
SW 5TH TER
NW 40TH ST
SE 11
TH AV
E
SW 11TH ST
NW 19TH TER
NW 32ND ST
NW 6TH ST
NW 24TH ST
LEE
DR
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
´0 4,3002,150 Feet