Choose Ohio First

Cuyahoga Community College

Choose Ohio First STEMM Grant

Scholarship and Program Application

Eligibility Requirements

For consideration in this program, an applicant must be a student at Cuyahoga Community College and meet each of the following criteria:

•An Ohio resident with the current legal status to remain permanently in the United States

• Freshman or sophomore statusas of June 1, 2016

• Cumulative 2.5 grade point average (GPA)or higher on a 4.0 GPA scale

• Enrolled in at least 6 creditsof 1000-level or higherclasses during each semester of participation

• Declared major ina specific science, technology, engineering, mathematicsor medical (health career) discipline.Associate of Arts is not an eligible major. Questions about eligible majors may be directed to Mr. Herbert Mausser, (216) 987-4660 or Herbert.Mausser@tri-c.edu.

• Available to attend and participate in Choose Ohio First activities (see Page 2 for activity options).

Application

Interested students must complete, sign and submit this Application, including:

· a one-page essay (see Page 4 of this application);

· a copy of college (or high school if applicable) transcripts (unofficial transcript is acceptable);

· one letter of recommendation or endorsement from a college or high school instructor in the science, technology, engineering, mathematics or medical (STEMM) discipline (see Page 5 of this application);

· a statement of commitment from a Tri-C STEMM faculty member agreeing to serve as your Choose Ohio First mentor (see Page 6 of this application).

If chosen as a scholarship finalist, the student may be asked to participate in a formal interview as part of the selection process. Failure to participate may be grounds for rejecting the application.

Choose Ohio First Program activities are designed to help you develop as a STEMM student and improve your chances to complete a baccalaureate degree in a STEMM discipline. You must complete at least two (2) Fall semester options and at least two (2) year-long options. Examples of options are shown below – your actual options will be determined in consultation with your faculty mentor and/or program coordinator. Your continued eligibility for the Choose Ohio First scholarship will depend in part on the timely and successful completion of your chosen options.

· Complete a shadowing experience (minimum 8 hours) in a research, clinical or professional environment

· Attend at least two STEMM meetings or conferences related to your field of study

· Successfully complete the Introduction to Research Methods course at Tri-C or anotherresearch techniques course or workshop approved by your Choose Ohio First mentor

· Produce a STEMM-relatedposter on a year-long research or shadowing activity (guided by your Choose Ohio First mentor)

· Attend and present a STEMM-relatedposter at the Student Success Symposium at Tri-C

· Attend and present a STEMM-related poster at a conference approved by your Choose Ohio First mentor

· Prepare and present a Choose Ohio First portfolio, with appropriate work/course/conference material included, to your Choose Ohio First mentor

Depending on Ohio Board of Regents guidelines and scholarship fund availability, you may be able to enter the Choose Ohio First Program in the Spring semester. If you do, you must complete at least two (2) options during the Spring semester. If you then continue in the Program, you are required to complete the Fall Semester and Year-Long options as described above.

First____________________ Middle________________Last ___________________________

Street ____________________________________________________________________________

City________________________________________________ State______ Zip________________

Birth Date____________________ Tri-C Student ID No. S ___ ___ ___ ___ ___ ___ ___ ___

E-mail Address_____________________________________________________________________

I certify that the information provided is accurate. The Cuyahoga Community College Foundation or authorized representative may use the information I have provided to support its mission and the information may be shared with Program Representatives.

Signature_______________________________________ Date___________________________

Student name (print)________________________________________Date:____________________

The purpose of this essay is to tell us why you want to participate in the Choose Ohio First program and what you wish to accomplish during this experience. Areas to address: (1) What do you hope to gain from participating in the program; (2) why have you chosen your particular major; and (3) how might this experience help you in your field of study or future career? Write your essay in the space provided below or attach a separate sheet.

The above-named student is applying for the Choose Ohio First Scholarship Program at Cuyahoga Community College. Please provide your endorsement of the student in the space provided below or attach a separate letter.

Title/Department___________________________________________________________________

Address___________________________________________________________________________

Email address:_____________________________________________________________________

Telephone no. (________)____________________________ Date__________________________

Please comment on why this student is deserving of a Choose Ohio First scholarship:

The above-named student is applying for the Choose Ohio First Scholarship Program (“the Program”) at Cuyahoga Community College. I agree to mentor this student (“my mentee”) during his/her participation in the Program, including development, monitoring and reporting of my mentee’s required participation/activity options. If I choose to leave my role as faculty mentor, I agree to immediately notify my mentee and the Assistant Dean – Honors & Experiential Learning Programs of my decision. I acknowledge that faculty mentoring is a critical component of the Program, and failure on my part to actively mentor my mentee may affect my mentee’s eligibility for Program scholarship awards.

Title/Department ___________________________________________________________________

Email address: _____________________________________________________________________

Telephone no. (________)____________________________ Date__________________________