2012 SUMMER PROGRAM APPLICATION GUIDELINES AND INSTRUCTIONS Program Overview: The Bridges to Success Summer Program provides you with an opportunity to begin your college-level work in the summer prior to full-time degree seeking enrollment at Valencia College in the fall. If you are selected for the program you will register and attend courses from June 15, 2012 to August 2, 2012. Bridges students receive individualized personal attention from Valencia’s faculty and staff. These individuals are dedicated to assisting students in making a successful transition from high school to college and will help build leadership skills through community service and extra-curricular activities. Upon successful completion of the Bridges to Success Summer Program you will become a Bridges to Success Achievers Scholar in the Fall (2012). Bridges Achievers Scholars receive a renewable in-state full-tuition scholarship and book stipend that will be coordinated with financial aid to cover up to the full cost of attending Valencia College.
Eligibility: Class of 2012 High School graduates from Orange and Osceola Counties are invited to apply for the Bridges to Success Summer Program. Special consideration is given to students with financial need and/or documented risk factors that may impede entry into college.
Application Checklist: These items are due on or before March 1, 2012
q Submit a Valencia Application for Admissions ON-LINE at valenciacollege.edu/admissions. Please print confirmation page and attach it to your application.
q Submit the 2012 Bridges to Success Summer Program application. q Have the high school send an electronic official high school transcript to Valencia College. q Attach two recommendation forms to the application in a sealed envelope. q Submit proof of Florida Residency to the Answer Center. q Submit an electronic FINAL high school transcript indicating date of graduation from high school. (Due Date: June 22, 2012)
Financial Aid Checklist:
q Complete the 2011-2012 FAFSA (Free Application for Federal Student Aid) ON-LINE at www.fafsa.ed.gov Please Print Confirmation Page and attach it to your application.
q Complete the 2012-2013 FAFSA (Free Application for Federal Student Aid) ON-LINE at www.fafsa.ed.gov Please Print Confirmation Page and attach it to your application.
Assessment Checklist:
q Provide your PERT scores or take the PERT at Valencia’s Assessment Office/or submit college level SAT/ACT scores (send directly to Valencia College).
q Advanced Placement (AP) scores should be sent directly from the College Board to Valencia College. If you are accepted into the Bridges to Success Program, you will be required to attend:
q MANDATORY Bridges New Student Orientation and Parent/Student Meeting q MANDATORY Bridges Program Service Learning Project Please note that all items must be satisfied by the due date in order to be eligible for acceptance into the Bridges to Success Summer Program. Incomplete application packets will NOT be accepted. No Exceptions. Please return your completed application package by March 1, 2012 to: Valencia College Office of Bridges to Success Post Office Box 3028, Mail Code 4-25 Orlando, FL 32802-3028
ACHIEVERS PROGRAM SCHOLARSHIP GUIDELINES Bridges Achievers Scholars Checklist All items identified in this checklist must be met to receive the 2012 Bridges to Success Achievers Scholarship.
q Complete and submit the 2011-2012 and 2012-2013 FAFSA (Free Application for Federal Student Aid) Online by March 1, 2012 Please Print Confirmation Page
q Submit one FINAL official high school transcripts (indicating your graduation date) by June 22, 2012 q Successfully complete the Bridges to Success Summer Program with a Grade Point Average (GPA) of 2.0 with 100% course completion rate
q Enroll for a minimum of 9 credit hours for the 2012 Fall term and 2013 Spring term (which must include SLS 1201 Personal Development and SLS 1122 Student Success courses)
q Attend four MANDATORY workshops/skill shops (Fall/Spring) q Attend two MANDATORY Group Meetings each term (Fall/Spring) q Complete 30 hours of community service per term(Fall/Spring) at an approved location
To continue as a Bridges Achievers Scholar in future terms, you must maintain a 2.5 GPA and complete at least 75% of the courses you attempt. In the event that your grade point average falls below the required 2.5 and/ or the course completion rate falls below 75% the following criteria will apply in order to maintain scholarship eligibility: • Participate in a tutorial program • Participate in the Bridges Math Lab (if required) • Use the academic Support Labs • Participate in Academic Progress Conferences every two-weeks • Participate in other activities designed to help you succeed, as assigned • Attend ALL Bridges mandatory events • Develop and submit an educational plan
RELEASE OF INFORMATION Please type or print in blue/black ink all information requested.
2012 Summer Program Application Date
For Office Use Only Date Received:
Gender
q Male q Female Name
Entered ROANYUD:
Date of Birth VID:
Social Security Number
Valencia ID#
Email Address
High School Name: Expected Graduation Date: High School Counselor:
High School Principal:
Native Language: Major/Program of Study: Current GPA: Please Check Assessments Taken:
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ACT
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SAT
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Date you completed 2011-2012 FAFSA: Campus preference (Summer Only)
q Osceola
Did you pass all sections of the FCAT?
q Yes q No
PERT Date you completed 2012-2013 FAFSA:
q West
q East
Personal Information Home Phone
Home Address
Cell Phone
City
State
Zip Code
Emergency Contact Name
Home Phone
Home Address
Cell Phone
City
State
Please list any extracurricular or community service activities in which you have participated:
Zip Code
Please indicate by checking below risk-factors that may impede your access to a higher education.
q First Generation q English as Second Language q Unemployment of Parent/Guardian q Qualify for Free or Reduced Lunch q Incarcerated Parent q Foster Child/Ward of State q Homelessness/ Orphan
q Single Parent Home q Disabled/Severely ill Parent/Care Taker or Sibling q Teen Parent q Low Parent Involvement/Support q Low Performing School as indicated by DOE q Juvenile Incarceration q Other
Please indicate your participation in the pre-collegiate programs listed below (list the month/year): College Reach-Out Program
Upward Bound
Dual Enrollment
If yes, how many college credit hours completed
Do you have any sibling(s) who is/are currently in the Bridges Program? If yes, name: Do you have sibling(s) that is/are applying for the 2012 Summer Program? If yes, name:
Personal Essay: (Please type your responses on a separate sheet of paper) In 250 words or more please answer the following: 1. Why do you want to participate in the Bridges Summer Program? 2. Describe any personal challenges or adversity you experienced. 3. How will the Bridges program help you in achieving your educational and career goals?
Notification of Social Security Number Collection and Usage In compliance with FL Statute 119.071(5), this document serves to notify you of the purpose for the collection and usage of your Social Security Number (SSN). Valencia College (Valencia) collects and uses your SSN only for the following purposes in performance of the College’s duties and responsibilities. To protect your identity, Valencia will secure your SSN from unauthorized access, strictly prohibits the release of your SSN to unauthorized parties contrary to state and federal law, and assigns you a unique student/employee identification number. This unique ID number is used for all associated employment and educational purposes at Valencia.
Deadline: March 1, 2012 Please follow the Application Check list found in the 2012 Summer Program Guidelines for the additional requirements and deadlines Mail COMPLETED APPLICATION PACKETS to: Valencia College Bridges to Success P.O. Box 3028, Mail Code 4-25 Orlando, FL 32802-3028 For more information call (407) 582-1395
STUDENT RECOMMENDATION FORM 2011-2012 To be completed by the Applicant: Please complete the information below and then provide your teacher, guidance counselor, principal, or community service supervisor with this form along with an envelope. One recommendation form should be completed by your teacher, guidance counselor, or principal. The second recommendation form should be completed by your community service or volunteer supervisor. The applicant should mail the two recommendation forms received from the recommenders in sealed envelopes at the same time the application is submitted.
STUDENT INFORMATION (TO BE COMPLETED BY APPLICANT) Name
Date
Address
Phone
City/State/Zip
High School The Family Educational Privacy Act of 1974 and its amendments guarantee students access to educational records concerning them. Students are permitted to have their right of access to recommendations. The following indicates the wish of the applicant regarding this recommendation: o
I waive my rights to access of this recommendation
o
I do NOT waive my right of access to this recommendation
Applicant’s Signature:
Date:
To be completed by the Recommender: We would appreciate your candid evaluation of the student named above to aid us in evaluating his/her candidacy for acceptance into the Bridges to Success Summer Program. Please place your recommendation in an envelope, seal it, and sign your name twice over the seal. Please give the student the envelope to be returned with their completed application packet.
RATINGS
Academic Achievement
5 = Excellent
4 = Above Average
3 = Average
2 = Below Average
1 = No Information
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Comments Leadership Potential Comments Motivation/Initiative Comments Communicates effectively: written Comments Communicates effectively: orally Comments Works and relates well with others Comments
RATINGS (Cont.) 5 = Excellent
4 = Above Average
3 = Average
2 = Below Average
1 = No Information
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Learns from Past Experiences Comments Leadership Potential Comments Reaction to Setbacks Comments Approaches school with seriousness Comments Accepts responsibilty Comments Expresses opinions and disagreements in a mature manner Comments Overall Rating EVALUATION
How long and in what capacity have you known this applicant? Please indicate in the statement an assessment of their strengths and weaknesses?
Name: (Please Print) Position/Title: Phone: Signature:
School/Company: Email: Date:
STUDENT RECOMMENDATION FORM 2011-2012 To be completed by the Applicant: Please complete the information below and then provide your teacher, guidance counselor, principal, or community service supervisor with this form along with an envelope. One recommendation form should be completed by your teacher, guidance counselor, or principal. The second recommendation form should be completed by your community service or volunteer supervisor. The applicant should mail the two recommendation forms received from the recommenders in sealed envelopes at the same time the application is submitted.
STUDENT INFORMATION (TO BE COMPLETED BY APPLICANT) Name
Date
Address
Phone
City/State/Zip
High School The Family Educational Privacy Act of 1974 and its amendments guarantee students access to educational records concerning them. Students are permitted to have their right of access to recommendations. The following indicates the wish of the applicant regarding this recommendation:
q q
I waive my rights to access of this recommendation
I do NOT waive my right of access to this recommendation
Applicant’s Signature:
Date:
To be completed by the Recommender: We would appreciate your candid evaluation of the student named above to aid us in evaluating his/her candidacy for acceptance into the Bridges to Success Summer Program. Please place your recommendation in an envelope, seal it, and sign your name twice over the seal. Please give the student the envelope to be returned with their completed application packet.
RATINGS
Academic Achievement
5 = Excellent
4 = Above Average
3 = Average
2 = Below Average
1 = No Information
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Comments Leadership Potential Comments Motivation/Initiative Comments Communicates effectively: written Comments Communicates effectively: orally Comments Works and relates well with others Comments
RATINGS (Cont.) 5 = Excellent
4 = Above Average
3 = Average
2 = Below Average
1 = No Information
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Learns from Past Experiences Comments Leadership Potential Comments Reaction to Setbacks Comments Approaches school with seriousness Comments Accepts responsibilty Comments Expresses opinions and disagreements in a mature manner Comments Overall Rating EVALUATION
How long and in what capacity have you known this applicant? Please indicate in the statement an assessment of their strengths and weaknesses?
Name: (Please Print) Position/Title: Phone: Signature:
School/Company: Email: Date:
VALENCIA BRIDGES TO SUCCESS RELEASE OF INFORMATION
I hereby authorize
(NAME OF HIGH SCHOOL)
to release a transcript of grades earned, credits received, aptitude and achievement test scores, and other information relating to the student named below. In addition, I give Bridges to Success authority to release information related to my acceptance into the program to my school administration.
Name of Student
Social Security #
Release the following information to Valencia: 3 School Name 3 Ethnic Code 3 ESE Information 3 Gender 3 Address 3 Social Security Number 3 Grade Point Average 3 Telephone Number 3 Class Ranking
SIGNATURE OF STUDENT
TODAY’S DATE
SIGNATURE OF PARENT (Parent signature required on application if under 18)
TODAY’S DATE