Granville T. Woods Scholars Program

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Granville T. Woods
Scholars Program
Participants in the Granville T. Woods Scholars Program receive a
full scholarship to pay for tuition, fees, and text books. A state-of-the-art
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notebook computer will be loaned to scholars to keep during their
participation in the program. Upon completion of the program,
the computer will be awarded to graduates. During the summer,
scholars will study abroad and participate in research internships.
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APPLICATION FOR ADMISSION • GENERAL INSTRUCTIONS
Candidates applying for the Granville T. Woods Scholars Program must
submit a Granville T. Woods Application for Admission. ill addition,
the following documents must be submitted by the deadline date.
Official high school transcript (required)
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Official college entrance exam scores: the Scholastic Aptitude Test (SAT)
or the American College Testing Program (ACT) scores
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Scholarship Essay
Teacher/Counselor
recommendations
(two are required)
Official Advanced Placement scores (optional)
Secondary School Report (extra curricular and personal activities,
work experience, senior year classes, and academic honors)
Scholarship application (required)
BALTIMORE
CITY
COMMUNITY
COLLEGE
The Granville T. Woods Scholars Program
SCHOLARSIllP
APPLICATION
PARr I: GENERAL INFORMATION
Nrume
_
Social Security Number
_
Admess
_
Telephone (Day)
_
Telephone (Evening)
_
Age
_
Gender
0 Female
0 Male
PART IT:ESSAY
Granville T. Woods Scholarships are awarded based on one or more factors,
including academic achievements and goals, extracurricular activities, work
experience, and others. Students must submit a brief essay highlighting the
academic interests and achievements, financial need, and/or special circumstances
they would like the scholarship committee to consider. Please place your name
and Social Security number on each additional page. See last page.
PART ill: CERI1FICATE OF ACCURACY
Please read and sign.
I certify that the information contained in my scholarship application
is true and correct.
Name
Date
PART IV: SUBMIT APPLICATION
Submit this form with other Granville T. Woods Scholarship
Program application materials in the envelope provided by April 1.
_
BALTIMORE
CITY
COMMUNITY
COLLEGE
The Granville T. Woods Scholars Program
ADMISSIONS APPLICATION
Office of Admissions: 2901 Liberty Heights Avenue- Baltimore, MD 21215-7893·410-462-8223·
PERSONAL
ITY 1-800-735-2258· www.bccc.state.md.us
DATA
Social Security Number
ODD-DO-DODD
ODD
Instructional
Program ("Major")
Special Entry Code
(Select codes from list on back of this application)
1. Nmne------------------------------~~dt;------------------------~~~--------------------------------------
Mm
Middle
ODD
Last
2. CurrentAddr~s,~--~~------------------------------------------------------------~------~----
_
Street Address
3. Birthdate
(month,
City
day, year)
State
_
___
4. Home Telephone
Work Telephone
_
__ __
E-mail Address
Is this a TDD number (Telecommunications
call
Devicefor
(Optional)
the Deaf)?
DYes
Name
_
Home Telephone
_
D No
Relationship
_
Work Telephone
Area Code
6. Gender
0 M-Male
7. Racial/Ethnic
0
Category
Residence
Resident
only)
11. Type of Visa
12. Military
0 Yes
for 3 months or longer?
Status
0 Yes
03-Asian
04-Hispanic
05-Caucasian
06-0ther
0 No
00
(Select code from list on back of this application)
Countryofcitizenship
ONo
_
0 2-Student Visa
0 3-Reservist
03-0ther
0 4-Dependent
Alien Registration
Number
_
Are you applying for Veterans' educational benefits?
0 Y~
0 No
DATA
0 A5-New Student
14. Semester
Applying
for
16. Academic
Objective
at BCCC
18. High SchoollGED
0 A7-Transfer Student
0 l-Fall
0 2-Spring
DOl-Associate
High School Code
Degree
DDDDDD
0 3-Surnrner
002-Certificate
0 t-High School Diploma-Graduation
(or expected HS graduation
o Other
0 2-Native American
04-lnternational
o l-Refugee/Permanent Resident
o I-Active Duty 0 2- Veteran
ENROLLMENT
13. Student
0 I-African American
0 l-Baltimore City 0 2-Maryland County Which county? (If not a city resident)
o 3-0ut-of-State
10. U.S. Citizen?
_
Area Code
F-Female
(for statistics
8. Have you been a Maryland
9. Permanent
--c------------------------
Area Code
Area Code
5. In case of an emergency,
Zip
_
003-Neither
Date
0 2-MD High School Diploma (GED) Date
_
date)
(Select code from list on back of this application)
(School Name/City/State)
_
lUghSchooICounselor
_
19. List all coUeges and universities
School Name
OTHER
20.
attended,
including
BCCC, either full or part-time.
Address
From MoJYr.
To MoJYr.
Degree/Certificate
Received
DATA
How did you hear about The Granville
o I-School
o 6-Radio
Counselor
T. Woods Scholars
Program?
02- BCCC Admissions
07-Television
(check aU that apply)
o 4-Newspaper
o 9-0ther
0 3-BCCC Publication
08-Friend
o 5-Billboard
_
Please read and sign the foUowing:
To the best of my knowledge, every statement I have made on this Admissions Application is correct I realize that deliberately falsifying or omitting information could be grounds for
dismissal from the College. I understand that it is my responsibility to notify the Admissions or Registrar's Office of any changes in this information. I accept and agree to abide by all
policies and regulations of BCCC including those concerning drug and alcohol abuse. I understand that the unlawful use of drugs or alcohol will subject me to the penalties contained
in those policies and regulations.
SignatureofApplicant
_ Date
_
BALTIMORE
CITY
COMMUNITY
COLLEGE
The Granville T. Woods Scholars Program
ADMISSIONS APPLICATION
I~STRUCTIONAL
PROGRAM
("MAJORS")
INSTRUCTIONAL PROGRAM
("MAJORS") CODES
(D) Associate degree program
Granville T. Woods Scholars
Program Options
509
502
004
008
445
Public Policy Option
Social and Behavioral Sciences Option
Business Administration (D)
General Studies (D)
Special Entry Code
CODES
MARYLAND COUNTY CODES
(Application item # 9.2)
01 Allegany
02 Anne Arundel
03 Baltimore
04 Calvert
05 Caroline
06 Carroll
07 Cecil
08 Charles
09 Dorchester
10 Frederick
11 Garrett
12 Harford
13 Howard
14 Kent
15 Montgomery
16 Prince George's
17 QueenAnne's
18 St. Mary's
19 Somerset
20 Talbot
21 Washington
22 Wicomico
23 Worcester
24 Baltimore City
HIGH SCHOOL CODES
ADMISSIONS/CALL
410-462-8300
MD TOLL-FREE
1-888-203-1261
TTY
1-800-735-2258
WEB SITE
www.bccc.state.md.us
CENTER
(Application item #18)
210035 Baltimore City College
210038 Baltimore Polytechnic Institute
210044 Baltimore School for the Arts
210060 Carver Voc-Tech
210082 Edmondson SeniorlWestside
210083 Fairmount/Harford Institute
210085 Forest Park
210089 Francis M. Woods
210075 Frederick Douglass
210101 Harbor City High School
**HOOI Central Career Center at Briscoe
210106 Lake CliftonlEastern
210081 Laurence Paquin
210115 Mergenthaler Voc-Tech
210144 Northern
210143 Northwestern
210 160 Patterson
210170 Paul Lawrence Dunbar
210210 Southern
210211 Southwestern
210217 Waverly Career Center
210219 Walbrook High Uniform Services Academy
210220 Western
**H999 Out-of-Maryland
**H888 GED (MD HS Diploma)
**HOOONo High School/GED
9/02
BALTIMORE
CITY
COMMUNITY
COLLEGE
The Granville T. Woods Scholars Program
SECONDARY
SCHOOL REPORT
This report is to be completed by the student. Additional official
documents are required, including official secondary school
transcripts and college-entrance
1.
examination scores.
N~
_
Nickname (if applicable)
Ad~s
_
_
Social Security #
High School Graduation Date
_
Name of High School
_
Cumulative Grade Point Average
Advanced PlacementlInternational
Class Rank
_
Baccalaureate courses (yes or no)
_
Please submit official secondary school transcript.
2. ACADEMIC HONORS
Briefly describe any scholarship distinctions, honors/gifted and talented courses or any
other honors you have earned beginning with the ninth grade.
3. TEST INFORMATION
Please indicate Scholastic Aptitude Test scores (SAT I), the American College Test
scores (ACT) or Advanced PlacementlIntemational Baccalaureate Exams which you
have taken or plan to take.
ACT
date
date
SAT I
date
date
SAT II
date
date
APExams
m Exams
subject
subject
date
date
subject
subject
date
date
Please submit offical scores as soon as they are available.
over
4. SENIOR YEAR CLASSFB
Please list the classes you are or will be taking during your senior year
all appear on your high school transcript
if they do not
5. EXTRACURRICULAR & PERSONAL ACTIVITIES
Please list your major extracurricular, community, athletic, cultural, artistic and family
activities, and hobbies. (Enclose attachments if necessary.)
Activity
Grade level
Brief description of your participation
6. WORK EXPERIENCE
Please list any work experience (including swnmer employment) you have had in the
past three years.
Dates of employment
Position and employer
Brief description of duties
(1)
_
(2)
_
(3)
(4)
_
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7. ACADEMIC HONORS
Please provide any additional information regarding your background and experiences
that may assist in the review of your application. (Enclose attachments if necessary.)
_
BALTIMORE
CITY
COMMUNITY
COLLEGE
The Granville T. Woods Scholars Program
TEACHER/COUNSELOR
RECOMlVlENDATION
This recommendation form is to be completed by a teacher or a
counselor who can attest to your academic performance and/or
personal attributes.
Smdern'sNmne
_
A~s
_
Phone
_
Teacher's/Counselor's
Name
_
Subject Taught
_
HighSchool
_
SchooIAd~s
~
RECOMMENDATIONSIEVALUATION
_
(pleasetype or print)
Please feel free to write whatever you think is important about the applicant, including a
description of academic and personal characteristics. We are particularly interested in the
candidate's intellectual purpose, motivation, maturity, integrity, independence, originality,
initiative, leadership potential, special talents, and enthusiasm. We welcome any information
that will assist us in distinguishing this student from others. (Use reverse side if necessary.)
Please give an overall rating (Optional)
o Below Average
0 Average 0 Good 0 Very Good 0 Excellent 0 One of the top few I have encountered
BALTIMORE
CITY
COMMUNITY
COLLEGE
The Granville T. Woods Scholars Program
TEACHER/COUNSELOR
RECOMMENDATION
This recommendation
form is to be completed by a teacher or a
counselor who can attest to your academic performance and/or
personal attributes.
Student's Name
A~s
_
_
Phone
_
Teacher'S/Counselor's Name
_
Su~~tTau~t------------------------------------------Hi~School--SchooIA~s
RECOMMENDATIONSIEVALUATION
_
_
(please type or print)
Please feel free to write whatever you think is important about the applicant, including a
description of academic and personal characteristics. We are particularly interested in the
candidate's intellectual purpose, motivation, maturity, integrity, independence, originality,
initiative, leadership potential, special talents, and enthusiasm. We welcome any information
that will assist us in distinguishing this student from others. (Use reverse side if necessary)
Please give an overall rating (Optional)
o Below Average
0 Average 0 Good 0 Very Good 0 Excellent 0 One of the top few I have encountered
BALTIMORE
CITY
COMMUNITY
COLLEGE
The Granville T. Woods Scholars Program
SCHOLARSIllP
ESSAY
Granville T. Woods was known as "the greatest electrician in the world,"
even though he was often prevented from advancing in his employment.
Instead of becoming discouraged, he used his inventions to reflect his
mechanical genius. His first and second patents, while successful, did
not provide him with any real income. With his third patent, however,
Woods was able to sell his invention to the Bell Telephone Company
of Boston. It was probably the sale that gave him the needed capital to
establish his own company, Woods Railway Telegraph Company.
Write a well-developed essay explaining how and why a Granville T.
Woods Scholarship would enable you to achieve your goals. Highlight
your academic achievements, your career aspirations, work experiences
and any special circumstances to support your explanation.
To receive a favorable decision regarding your scholarship application,
your essay must have a recognizable thesis statement, an introduction,
at least two body paragraphs, and a conclusion. Your essay must be
typed and double-spaced. Your typed essay will be evaluated for
organization, development, clarity, spelling, grammar and punctuation.
Granville T Woods' dedication to education,
perseverance despite numerous obstacles,
and professional brilliance make him a role model
for scholars.