Michael and Kim Ward Foundation First Generation
                   MVRC Scholarships

VALUE: $2,500 ($1,250 Fall / $1,250 Spring)         NUMBER:       Four


    Be accepted to UNF
    FL resident
    Have parents or legal guardians who have not earned their bachelors degree
    Earn a minimum UNF GPA of 2.0
    Complete the Free Application for Federal Student Aid (FAFSA)
    Qualify for the Federal Pell grant
    Demonstrate financial need and meet additional requirements as defined by the
     University’s Financial Aid Office


    Enroll at least part-time (6 credit hours) each semester and earn a minimum of 12
     credit hours by the end of each academic year
    Remain in good standing as a student
    Maintain a GPA of at least 2.0
    Comply with all University regulations, rules, and codes of conduct governing students
     on campus
    Consent to release grades to the Division of Institutional Advancement for the
     purposes of reporting to the Donor
    Attend Donor-Scholar luncheon or Donor related events at least once a year


Current recipients may apply for renewal and will be given preference pending availability
of funding, and if all of the preceding requirements have been met. No student will be
eligible to receive more than 8 semesters of scholarship support.

                                                        Submit your application to
                                               Only electronic applications will be considered.

                                                           Submission Deadline:
                                                              July 1, 2012
                      2012-2013 Scholarship Application
                                                       Deadline: July 1, 2012

                                 Michael Ward First Generation
                                     MVRC Scholarships

Last Name                             First Name                              Middle Name                               UNF ID (“N” Number)

Permanent Address                                                             City                             State                 Zip Code

UNF email Address                                  Home Phone                 Cell Phone                       Date of Birth
                                                                                                                   /    /                Female
Rank at completion of Spring 2012 semester (check one only)         Major(s) or Intended Major(s)

Calculate the number of credit hours               Cumulative GPA                    Terms I plan to attend (check all that apply)
completed at UNF as of the end of Spring 2012
                                                                                            Summer A 2012                      Fall 2012
LOWER LEVEL (1000-2000):
                                                   Proposed Graduation Date                 Summer B 2012                      Spring 2013
UPPER LEVEL (3000-6000):                           (semester / year)
                                                                                            Summer C 2012

                                                      FOR OFFICE USE ONLY
Verifier:                                          UNF GPA:                   High School/Transfer GPA:           Criteria Met?

                                                                                                                               YES         NO

Major:                                                                        Expected Graduation:

Other Information:
Extracurricular Activities
Include college and community activities, volunteer work and honors.
Month / Year TO Month / Year      Description of Activity and Leadership Role (if any)
.               .                .
.               .                .
.               .                .
.               .                .
.               .                .
.               .                .
.               .

Work Experience
Month / Year TO Month / Year     Company and Description of Work                               Hours per Week
.               .                .
.               .                .
.               .                .

Military Experience
Branch of Service     Description                                                                  Dates Served
.                     .                                                                            .
.                     .                                                                            .
.                     .                                                                            .

Additional Required Information
Does one of your parents have a bachelors degree?
Have you filed the FAFSA form (as required by the State and to assist you with any other                 YES
possible scholarships)?                                                                                  NO

Have you applied for or are you receiving any other scholarships (i.e. Bright Futures, grants or         YES
gift aid) at UNF?                                                                                        NO
If yes, please list:

Are you registered with the Military Resource Veterans Center at UNF?                                    YES
Essay & Documentation
In the space that follows, please write a short essay (containing 100 words or less) for each of these additional questions.
  Please write a brief biography and discuss the biggest challenge you’ve had to overcome and
  what you learned from it.

Please summarize your mentoring experience this year including both positive and negative
aspects of that experience. Include recommendations for this requirement of the Michael and Kim
Ward Foundation scholarship.

    YES, I have read and accept the terms below.
    I affirm that the information which I have provided on this application form and any additional material that
    I submit related to the financial aid process is complete, accurate and true to the best of my knowledge.
    Pursuant to the Family Educational Rights and Privacy Act of 1974, as amended (FERPA), I hereby
    authorize the University of North Florida to release the scholarship application information provided by
    me, as well as other official and unofficial University of North Florida information regarding my academic
    progress and status, to scholarship donors for the purpose of providing the donors with information
    concerning my eligibility as a scholarship recipient. I also understand that furnishing false information may
    result in revocation of my financial aid or may result in disciplinary action pursuant to the University of
    North Florida Student Conduct Code.

      Applicant’s Name                                                                      Date

              Submit to Only electronic applications will be considered.
Received By ___________

Date __________________

                   2012-2013 First Generation In College Student Affidavit
                         First Generation Matching Grant Program
                                   Florida Statute 1009.701

                                   This section to be filled out by the student

               I, _______________________________ certify that, to the best of my knowledge and
                                (Print Name)
 belief, I am a first generation college student. Neither of my parents, or the parent with whom I regularly
 reside and receive support, has earned a college degree at the baccalaureate level or higher. The term
 "parent" means the natural or adoptive parent or legal guardian of a dependent child [F.S. 1009.21(1)(d)].
               Students who knowingly make false statements in order to receive state financial aid awards
 shall be guilty of a misdemeanor of the second degree subject to the provisions of s. 837.06 and shall be
 required to return all state financial aid awards wrongfully obtained [FS 1009.40(1)(a)3].

 _________________________________________________                    Stu ID: N_____________________
                         (Student Signature)

 ____________________________________                       _______________________________
 (Signature)                                                (Date signed)

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