Windows of Opportunity

Scholarship Program Application

Applicant Information

Last Name:______________________ First Name:_________________ Middle Initial:_________

Miami Dade College Student ID Number:__________________ Major:_____________________

Street Address:________________________________________ Apartment Number__________

City:____________________________ State:________________ Zip:_______________________

Email Address:___________________ Day Phone:____________ Evening Phone:______________

High School:_____________________ High School GPA:______ Current College GPA:________

Checklist

q     Completed application form

q     Essay describing the student’s interest in science and career goals

q     Approved MDC schedule showing full-time enrollment

q     Degree audit (for current MDC students), high school transcript (for first-semester college students), or college transcript (for transfer students)

q     Proof of financial aid eligibility

q     Letter of recommendation from a science, technology, engineering, or mathematics professor.  Please provide his/her information below:

 

Last Name:______________________ First Name:_________________ Middle Initial:____

Title:___________________________ Relationship to Student:______________________

Institution Name:____________________________ Department:_____________________

How long has the reference been acquainted with the student?_____________________

Submission Information

Deadlines for submission:

• Fall semester:  August 20
• Spring Semester:  January 2

(If the submission date falls on a weekend, the deadline will be extended to the next business day)

Send completed application packets to:

Dr. Lenore P. Rodicio

Miami Dade College, Interamerican Campus

Department of Natural and Social Sciences, Room 1323

627 SW 27th Avenue

Miami, FL 33135-2966