Middlesex Community College Foundation_ Inc by leader6

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									                        The Middlesex Community College Foundation, Inc.

                                         Scholarship Application 2008
                                  For Entering, Returning, and Graduating Students




                                   The Required Scholarship Application Materials

         If you are an entering, returning, or graduating student and you are applying for an MxCC Foundation
         Scholarship, you must have at least a 3.0 GPA (unless otherwise noted in the scholarship criteria) and must
         submit the following:

                A completed 2008 Scholarship Application form.

                A copy of your latest transcript from MxCC or, if an entering student, from your high school.

                At least two letters of recommendation from people who know you well through school, employment,
                 or community activities, e.g., high school or college faculty, employers, or volunteer supervisors.

                An essay describing what motivates you to succeed, why you wish to be considered for a
                 scholarship, how MxCC is helping you to achieve your goals, and what you want to accomplish with
                 your life and for your community.

                A completed 2008 – 2009 FAFSA (Free Application for Federal Student Aid) is required. The FAFSA
                 can be completed and submitted online at www.fafsa.ed.gov. The code number for Middlesex
                 Community College is 008038. You do not have to be a financial aid recipient, or even be financial
                 aid eligible, in order to receive a scholarship. However, the financial information contained on the
                 FAFSA form will aid the Scholarship Selection Committee in its deliberations. If you need
                 assistance, please contact the Financial Aid Office located in Founders Hall.

                                        Applications should be submitted to:
                                                  Dr. Adrienne Maslin
                                   Associate Dean of Learning & Student Development
                                             Middlesex Community College
                                               Founders Hall, Room 108
                                                100 Training Hill Road
                                                Middletown, CT 06457

To receive a scholarship, you must be either a currently enrolled student at MxCC with a 3.0 grade point average (unless
otherwise noted in the scholarship criteria) or a new student entering in fall 2008.

Scholarship applicants will be notified by mail in April with respect to whether they will be awarded a scholarship.

Late or incomplete applications will not be considered.

NOTE: Scholarship funds must be refunded to the MxCC Foundation if an entering or returning recipient
withdraws from the college or enrolls for fewer than six (6) credits for the upcoming academic year.

                   The last day for receipt of all application materials is March 14, 2008.
Revised 9/07 ◊
                                                 The Middlesex Community College Foundation, Inc.
                                                             Scholarship Application

                                                                                                       All application materials must be
                                                                                                       received by Dean Maslin no later
Please Print or Type                                                                                   than March 14, 2008

Student Contact Information

SSN ___________________________                                                         Banner ID _@___________________________
          (for entering students)                                                                         (for returning students)

Name      __________________________________________________________________________________________
                      Salutation                  Last                                  First                                     Middle Initial



Address__________________________________________________________________________________________
                      Street                                                            Apt #



           __________________________________________________________________________________________
                      City/Town                                                         State             Zip



Contact________________________ _______________________                                         _______________________________________
                      Home Phone                               Cell Phone                                 Email Address




College Attendance Information

 Entering                             Returning                                                          Graduating
  (just starting at MxCC fall 2008)     (currently attending MxCC and will register for                         (I will graduate from MxCC before the fall 2008 semester)
                                      at least 6 credits for the 2008-2009 academic year)



 In the upcoming fall 2008 semester, I will attend MxCC:                                        I plan to transfer to another college:
     Full-time (12 or more credits)                                                            Have you already been accepted?
     ¾ time (7 – 11 credits)                                                                    Yes         No         Pending
     Part-time (up to 6 credits)
                                                                                                Transfer to:
                                                                                                ___________________________________
                                                                                                College Name                                   Location



Completed credits conclusion of fall 2007 semester: ____________                                          GPA: ____________________
Anticipated total credits conclusion of spring 2008 semester: ______________
MxCC Degree or Certificate Program: __________________________________________________________
Planned career track or goal: __________________________________________________________________
High school graduation: ______________________________________________________________________
                                      Year                     Name of High school                                                City/State




Other Information
These questions are intended to assist the Scholarship Selection Committee match you with as many scholarships as possible.

Are you over 25 years of age?                      Yes                  No

What is your gender?                               Male                  Female

                                                                                                                                                          OVER ►
Honors, Awards, and Recognition
(If more writing space is needed, please attach to this application)

Please list academic honors/awards/recognition earned in high school or at MxCC:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

Please list extracurricular and community activities/awards/recognition earned in high school or at MxCC:
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________

Please indicate a total of three (3) scholarship(s) for which you are applying. Descriptions are attached.

  The Cathryn Addy Scholarship                                           The Phelps Ingersoll Scholarship
  The Angelo Aglieco Memorial Scholarship                                The Phi Theta Kappa Scholarship
  The Altrusa Club International, Inc. of Mdtwn Scholarship              The Pratt & Whitney Scholarships
  The Beckert Family Scholarship                                         The Record-Journal Foundation Scholarship
  The Biggs Memorial Scholarship                                         The Rotary Club of Middletown Scholarship
  The Hugh & Judith Cox Scholarship                                      The James U. Rundle Humanities Scholarship
  The Gandhi Scholarship Operational Account                             The St. Luke’s Gerontology Scholarship
  The Hartford Courant Scholarship                                       The James J. Shapiro Scholarship
  The Paul L. Jones Foundation Scholarships                              The Slade Scholarship
  The Nihla & Bob Lapidus Scholarships                                   The Susan M. Smart Memorial Scholarship
  The Liberty Bank Foundation Scholarships                               The Nellie R. Smith Memorial Scholarship
  The Dr. Jeff and Sonya Madoff Scholarship in honor of T. Melbert       The Professor Richard Srb Scholarships
  The Lisa Massita Scholarship                                           The Christina Maria Stiso Humanitarian Scholarship
  The Melvin – Zaffino Scholarship                                       The Bill Thorn Memorial Scholarship
  The Middletown Adult Education Award Program Scholarships              The Maxine L. Thumim Scholarship
  The MxCC Foundation Scholarships                                       The Chuck and Rachel Wiltsie Scholarship



    The Alumni Endowed Scholarship                                       The Faculty Endowed Scholarship
    The Beaulieu Endowed Scholarship                                     The Founders Endowed Scholarship
    The Boris Burack Endowed Scholarship                                 The Edie Fuld Endowed Scholarship
    The Robert A. Chapman Endowed Scholarship                            The Herbert Levine, M.D. Endowed Scholarship
    The Deans Endowed Scholarship                                        The Martha DePecol Sanner Endowed Scholarships
    The Catherine L. Dennis Endowed Scholarship                          The Philip D. Wheaton Endowed Scholarship


 Through submission of this application, I certify that all information provided is true and accurate to
 the best of my knowledge. I grant permission to Middlesex Community College and the Middlesex
 Community College Foundation, Inc. to review my transcript and use the information provided in this
 application for review, recruitment, and public recognition. I agree that the application and all related
 materials become the property of the Foundation upon submission.

 If awarded a scholarship, I release to the College, the Foundation, and the Scholarship Donor,
 the right to use my name and photograph for publications, reports, and press releases. By
 signing this application, I also agree to write a thank you letter to the donor of the scholarship
 and attend the Scholarship Awards Ceremony on Thursday, May 8, 2008, and any other
 meeting requested by the donor and approved by the Foundation.


 ___________________________________________________                                             _________________________
       Signature of Scholarship Applicant                                                              Date

 Revised 9/07 ◊
                              2008 MxCC Foundation Restricted “C” Scholarships
The Middlesex Community College Foundation, Inc. awards scholarships each year to enable students to continue their
education and to recognize student accomplishments. Scholarships are funded by donations from individuals,
businesses, civic organizations, and corporations.



The Cathryn Addy Scholarship
Awarded to a returning student based on his/her academic achievements and financial need.

The Angelo Aglieco Memorial Scholarship
Awarded to a returning or graduating student in ophthalmics who is able to overcome difficult challenges and accomplish goals.

The Altrusa Club International, Inc. of Middletown Scholarship
Awarded to a graduating non-traditional student for exemplary community service to enable him/her to continue his/her education and
obtain a Bachelor’s degree.

The Beckert Family Scholarship
Awarded to a returning student who has financial need with a preference for one who is working as well as enrolled at MxCC, and has
GPA of 3.0 or above.

The Biggs Memorial Scholarship
Awarded to a non-traditional student who needs financial aid with a preference for a female.

The Hugh & Judith Cox Scholarship
Awarded to an entering or returning student who needs financial aid. Preference for one enrolled in Nursing, Radiologic Technology,
O.D.D., or a physical or biological science. The amount may be divided between two students.

The Gandhi Scholarship Operational Account
Awarded to a full-time entering or returning academically outstanding student enrolled at MxCC and of diverse background and
experiences. Demonstrated financial need is preferred but not required. Priority may be given to residents of Middletown.

The Hartford Courant Scholarship
Awarded to an entering or returning student who needs financial aid.

The Paul L. Jones Foundation Scholarships
Awarded in equal amounts to returning students and less but equal amounts to graduating students with a GPA of 3.0 or higher who
are enrolled full-time in the radiologic program and have completed the forms required by the Jones Foundation.

The Nihla & Bob Lapidus Scholarships
Awarded to two entering or returning students of any age who are highly motivated to succeed. The scholarships may be used for
tuition or some other area related to their education at MxCC.

The Liberty Bank Foundation Scholarships
Awarded to entering or returning non-traditional students who need financial aid.

The Dr. Jeff and Sonya Madoff Scholarship in honor of Thomas Melbert
Awarded to a returning student who has demonstrated performance in both social and behavioral sciences and the humanities, with an
emphasis on literature where possible. The student should demonstrate community involvement and be preparing for a career in
human services, social services, teaching, nursing, or a helping profession.

The Lisa Massita Scholarship
Awarded to a returning or graduating student who has demonstrated an outstanding commitment to the College.

The Melvin – Zaffino Scholarship
Awarded to a returning or graduating student based on financial need.

The Middletown Adult Education Award Program Scholarships
Awarded to Middletown Adult Education students who will enter MxCC to pursue higher education and who need financial assistance.

The MxCC Foundation Scholarships
Awarded to entering or returning students based on noteworthy academic achievement or unusual effort or community or college
service. Financial need may be a factor. Scholarships are funded by the Foundation’s annual fund raising efforts, e.g., Golf
Tournament, 5K Run/Walk, and individual contributions of less than $500.

The Phelps Ingersoll Scholarship
Awarded to an entering or returning student who needs financial aid.
The Phi Theta Kappa Scholarship
Awarded to a Phi Theta Kappa member, returning or graduating, for his/her academic achievements, contribution to the organization
and the College, and financial need.

The Pratt & Whitney Scholarships
Awarded to two applicants who are enrolled in the Engineering Science curriculum.

The Record-Journal Foundation Scholarship
Awarded to an entering or returning non-traditional student from Meriden or Wallingford based on his/her academic accomplishments,
financial need, and who is enrolled in at least nine credit hours a semester.

The Rotary Club of Middletown Scholarship
Awarded to a returning student who is a resident of Middletown, Portland, Durham, or Higganum based on academic achievement and
who otherwise would be unable to attend college.

The James U. Rundle Humanities Scholarship
Awarded to a graduating student who has shown outstanding achievement and/or promise in the humanities with preference given to
one planning to pursue a career in college teaching.

The St. Luke’s Gerontology Scholarship
Awarded to a returning or graduating student for excellence in the Human Services program studies. Preference will be given to an
individual planning to pursue a career in gerontology.

The James J. Shapiro Scholarship
Awarded to a returning or graduating, non-traditional student who has a GPA of 3.0 or higher.

The Slade Scholarship
Awarded to a returning or graduating, non-traditional student who has a GPA of 3.0 or higher.

The Susan M. Smart Memorial Scholarship
Awarded to a returning or graduating student based on financial need, academic achievement, and involvement in college activities.

The Nellie R. Smith Memorial Scholarship
Awarded to an entering or returning student who needs financial aid. Consideration may be given to a student interested in teaching.

The Professor Richard Srb Scholarships
Awarded to two returning students with a GPA of at least 2.5 who need financial aid in order to graduate from MxCC.

The Christina Maria Stiso Humanitarian Scholarship
Awarded to an entering CNA student. If funds permit, the next preference is for an entering or returning student in the Radiologic
Technology program or the Drug & Alcohol Rehabilitation program.

The Bill Thorn Memorial Scholarship
Awarded to a graduating MxCC student who is transferring to a four-year institution, preferably a campus of the CT State University
System or to the University of Connecticut, to pursue a bachelor’s degree in education leading to a career as a public school teacher in
Connecticut. This award honors the life and career of C. William Thorn, a long-time special education teacher and department chair at
Trumbull High School.

The Maxine L. Thumim Scholarship
Awarded to an entering, returning, or graduating student who needs financial aid with a preference for one who is working as well as
enrolled at MxCC.

The Chuck & Rachel Wiltsie Scholarship
Awarded to an entering or returning student who is motivated to succeed, clear about how this scholarship will help him/her to succeed,
and who needs financial aid to pursue an education.




Revised 9/07 ◊




                                                                                                                         OVER ►
                                 2008 MxCC Foundation Endowed Scholarships
The amount awarded is dependent on the income accrued each calendar year. Only those endowed scholarships
with sufficient income ($500 or more) will be funded.

The Alumni Endowed Scholarship
This scholarship was endowed in 2001 by the Foundation to honor alumni who consistently contribute their time and energy to raise
funds for the Foundation’s scholarships and operating expenses. This scholarship is awarded to an entering student who needs financial
aid to continue his/her formal education.

The Beaulieu Endowed Scholarship
This scholarship was established in 2000 – 2001 by Suellen Beaulieu in memory of her father and mother, Rowland and Ruth Beaulieu.
It is awarded to a returning student in business administration with a GPA of 3.0 or higher who needs financial aid to continue his/her
formal education.

The Boris Burack Endowed Scholarship
This scholarship was endowed in 2001 by the Foundation to honor the first Chairman of the College’s English Department. It is
awarded to a returning or graduating student with a GPA of 2.5 or higher who needs financial aid to remain in college or to continue
his/her formal education at a four-year college.

The Robert A. Chapman Endowed Scholarship
This scholarship was endowed in 2001 by the Foundation to honor the second President of the College. It is awarded to a returning
student who has distinguished himself/ herself through academic excellence, or unusual efforts, or community or college service.
Financial need may be a deciding factor.

The Deans Endowed Scholarship
This scholarship was endowed in 2001 by the Foundation to honor Deans who have made outstanding, substantial contributions to the
College. It is awarded to a returning student based on the equally weighted criteria of academic performance, attainment of a least
twenty credits at MxCC, financial need, and service to the College.

The Catherine L. Dennis Endowed Scholarship
This scholarship was endowed in 2004 by her husband, George, and their adult children in her memory. She believed deeply in the
value of education. It is awarded to a woman committed to earning a bachelor’s degree in social work or human services who may be
financially unable to do so without this scholarship.

The Faculty Endowed Scholarship
This scholarship was endowed in 2001 by the Foundation to honor faculty who have been exemplary educators. It is awarded to a
returning or graduating student who has distinguished himself/herself through academic excellence, made a contribution to the college
community, and needs financial aid to continue his/her formal education.

The Founders Endowed Scholarship
This scholarship was endowed in 2001 by the Foundation to honor those whose foresight and labor led to the creation of Middlesex
Community College and to recognize all who have helped nurture that original vision of a college. The Founders Committee included
Governor Wilbert Snow, Chair and Edith M. Taylor, Secretary. It is awarded to an outstanding returning or graduating student who
needs financial aid to continue his/her formal education.

The Edie Fuld Endowed Scholarship
This scholarship was established in 2001 by her parents, Arnie and Phyllis Fuld, and her friends to honor and recognize the
compassion, energy, and enthusiasm she showed to students and colleagues. She was Coordinator of Student Activities at MxCC. It
is awarded to a returning student who has demonstrated an interest in human services, especially student services, has a cumulative
GPA average of 2.5, and needs financial aid to continue his/her education.

The Herbert Levine, M.D., Endowed Scholarship
This scholarship was established in 2001 by his colleagues, patients, and friends to recognize his contributions to the College and
Foundation as a Board member of the latter and his mentoring so many at both. It is awarded to a graduating student for his/her love of
the liberal arts, commitment to higher education beyond the Associate’s degree, and excellent performance at the College.

The Martha DePecol Sanner Endowed Scholarships
These scholarships were established with $50,000 of the $100,000 bequest of Martha DePecol Sanner. This allocation of the bequest
was approved by the Foundation’s Board of Directors in March of 2003. Ms. Sanner was an extraordinary educator, respected and
highly regarded by students, faculty, and staff. It is awarded to non-traditional returning students based on their interest in an allied
health field, and who need financial aid to continue their studies.

The Philip D. Wheaton Endowed Scholarship
This scholarship was endowed in 2001 by the Foundation to honor the first and founding President of the College. It is awarded to a
returning or graduating student who needs financial aid to continue his/her formal education.

Revised 9/07 ◊

								
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