gtw_application

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Granville T. Woods
Scholars Program<
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Participants in the Granville T. Woods Scholars Program receive a
full scholarship to pay for tuition, fees, and text books. A state-of-the-art
notebook computer will be loaned to scholars to keep during their
participation in the program. Upon completion of the program,
the computer will be awarded to graduates. During the summer,
scholars will study abroad and participate in research internships.
APPLICATION FOR ADMISSION • GENERAL INSTRUCTIONS
Candidates applying for the Granville T. Woods Scholars Program must
submit a Granville T. Woods Application for Admission. illaddition,
the following documents must be submitted by the deadline date.
Official high school transcript (required)
Official college entrance exam scores: the Scholastic Aptitude Test (SAT)
or the American College Testing Program (ACT) scores
Scholarship Essay
Teacher/Counselor recommendations (two are required)
Official Advanced Placement scores (optional)
Secondary School Report (extra curricular and personal activities,
work experience, senior year classes, and academic honors)
Scholarship application (required)

BALTIMORE CITY COMMUNITY COLLEGE
The Granville T. Woods Scholars Program
SCHOLARSIllP
APPLICATION
PARr I: GENERAL INFORMATION
Nrume _
Social Security Number _
Admess _
Telephone (Day) _
Telephone (Evening) _
Age _ Gender 0 Female 0 Male
PART IT:ESSAY
Granville T. Woods Scholarships are awarded based on one or more factors,
including academic achievements and goals, extracurricular activities, work
experience, and others. Students must submit a brief essay highlighting the
academic interests and achievements, financial need, and/or special circumstances
they would like the scholarship committee to consider. Please place your name
and Social Security number on each additional page. See last page.
PART ill: CERI1FICATE OF ACCURACY
Please read and sign.
I certify that the information contained in my scholarship application
is true and correct.
Name Date _
PART IV: SUBMIT APPLICATION
Submit this form with other Granville T. Woods Scholarship
Program application materials in the envelope provided by April 1.

ADMISSIONS APPLICATION
Office of Admissions: 2901 Liberty Heights Avenue- Baltimore, MD 21215-7893·410-462-8223· ITY 1-800-735-2258· www.bccc.state.md.us
PERSONAL DATA
Social Security Number ODD-DO-DODD Instructional Program ("Major") ODD Special Entry Code ODD
(Select codes from list on back of this application)
1. Nmne------------------------------~~dt;------------------------~~~--------------------------------------
Mm Middle Last
2. CurrentAddr~s,~--~~------------------------------------------------------------~------~---- _
Street Address City State Zip
3. Birthdate (month, day, year) _
4. Home Telephone
Area Code
___ Work Telephone _ __ __ E-mail Address --c------------------------
Area Code (Optional)
Is this a TDD number (Telecommunications Devicefor the Deaf)? DYes D No
5. In case of an emergency, call Name _
Home Telephone _
Area Code
Relationship _
Work Telephone _
Area Code
6. Gender 0 M-Male 0 F-Female
7. Racial/Ethnic Category (for statistics only) 0 I-African American 0 2-Native American 03-Asian 04-Hispanic 05-Caucasian 06-0ther
8. Have you been a Maryland Resident for 3 months or longer? 0 Yes 0 No
9. Permanent Residence 0 l-Baltimore City 0 2-Maryland County Which county? (If not a city resident) 0 0 (Select code from list on back of this application)
o 3-0ut-of-State 04-lnternational
10. U.S. Citizen? 0 Yes ONo Countryofcitizenship _
11. Type of Visa
12. Military
o l-Refugee/Permanent Resident 0 2-Student Visa 03-0ther Alien Registration Number _
o I-Active Duty 0 2-Veteran 0 3-Reservist 0 4-Dependent Are you applying for Veterans' educational benefits? 0 Y~ 0 No
ENROLLMENT DATA
13. Student Status 0 A5-New Student 0 A7-Transfer Student
14. Semester Applying for 0 l-Fall 0 2-Spring 0 3-Surnrner _
16. Academic Objective at BCCC DOl-Associate Degree 002-Certificate 003-Neither
18. High SchoollGED 0 t-High School Diploma-Graduation Date 0 2-MD High School Diploma (GED) Date _
(or expected HS graduation date)
High School Code DDDDDD (Select code from list on back of this application)
o Other (School Name/City/State) _
lUghSchooICounselor _
19. List all coUeges and universities attended, including BCCC, either full or part-time.
School Name Address From MoJYr. To MoJYr. Degree/Certificate Received
OTHER DATA
20. How did you hear about The Granville T. Woods Scholars Program? (check aU that apply)
o I-School Counselor 02- BCCC Admissions 0 3-BCCC Publication
o 6-Radio 07-Television 08-Friend
o 4-Newspaper
o 9-0ther _
o 5-Billboard
Please read and sign the foUowing:
To the best of my knowledge, every statement I have made on this Admissions Application is correct I realize that deliberately falsifying or omitting information could be grounds for
dismissal from the College. I understand that it is my responsibility to notify the Admissions or Registrar's Office of any changes in this information. I accept and agree to abide by all
policies and regulations of BCCC including those concerning drug and alcohol abuse. I understand that the unlawful use of drugs or alcohol will subject me to the penalties contained
in those policies and regulations.
SignatureofApplicant _ Date _

The Granville T.Woods Scholars Program
ADMISSIONS APPLICATION
I~STRUCTIONAL PROGRAM ("MAJORS") CODES
509 Public Policy Option
502 Social and Behavioral Sciences Option
004 Business Administration (D)
008 General Studies (D)
445 Special Entry Code
MARYLAND COUNTY CODES
(Application item # 9.2)
01 Allegany
02 Anne Arundel
03 Baltimore
04 Calvert
05 Caroline
06 Carroll
07 Cecil
08 Charles
09 Dorchester
10 Frederick
11 Garrett
12 Harford
13 Howard
14 Kent
15 Montgomery
16 Prince George's
17 QueenAnne's
18 St. Mary's
19 Somerset
20 Talbot
21 Washington
22 Wicomico
23 Worcester
24 Baltimore City
INSTRUCTIONAL PROGRAM
("MAJORS") CODES
(D) Associate degree program
Granville T. Woods Scholars
Program Options
ADMISSIONS/CALL CENTER
410-462-8300
MD TOLL-FREE
1-888-203-1261
TTY
1-800-735-2258
WEB SITE
www.bccc.state.md.us
HIGH SCHOOL CODES
(Application item #18)
210035 Baltimore City College
210038 Baltimore Polytechnic Institute
210044 Baltimore School for the Arts
210060 Carver Voc-Tech
210082 Edmondson SeniorlWestside
210083 Fairmount/Harford Institute
210085 Forest Park
210089 Francis M. Woods
210075 Frederick Douglass
210101 Harbor City High School
**HOOI Central Career Center at Briscoe
210106 Lake CliftonlEastern
210081 Laurence Paquin
210115 Mergenthaler Voc-Tech
210144 Northern
210143 Northwestern
210160 Patterson
210170 Paul Lawrence Dunbar
210210 Southern
210211 Southwestern
210217 Waverly Career Center
210219 Walbrook High Uniform Services Academy
210220 Western
**H999 Out-of-Maryland
**H888 GED (MD HS Diploma)
**HOOONo High School/GED
9/02

SECONDARY
SCHOOL REPORT
This report is to be completed by the student. Additional official
documents are required, including official secondary school
transcripts and college-entrance examination scores.
1. N~ _
Nickname (if applicable) _
Ad~s _
Social Security # High School Graduation Date _
Name of High School _
Cumulative Grade Point Average Class Rank _
Advanced PlacementlInternational Baccalaureate courses (yes or no) _
Please submit official secondary school transcript.
2. ACADEMIC HONORS
Briefly describe any scholarship distinctions, honors/gifted and talented courses or any
other honors you have earned beginning with the ninth grade.
3. TEST INFORMATION
Please indicate Scholastic Aptitude Test scores (SAT I), the American College Test
scores (ACT) or Advanced PlacementlIntemational Baccalaureate Exams which you
have taken or plan to take.
ACT SAT I SAT II APExams m Exams
subject subject
date date date date date
subject subject
date date date date date
Please submit offical scores as soon as they are available.
over

4. SENIOR YEAR CLASSFB
Please list the classes you are or will be taking during your senior year if they do not
all appear on your high school transcript
5. EXTRACURRICULAR & PERSONAL ACTIVITIES
Please list your major extracurricular, community, athletic, cultural, artistic and family
activities, and hobbies. (Enclose attachments if necessary.)
Activity Grade level Brief description of your participation
6. WORK EXPERIENCE
Please list any work experience (including swnmer employment) you have had in the
past three years.
Position and employer Dates of employment Brief description of duties
(1) _
(2) _
(3) _
(4) -,.- _
7. ACADEMIC HONORS
Please provide any additional information regarding your background and experiences
that may assist in the review of your application. (Enclose attachments if necessary.)

TEACHER/COUNSELOR
RECOMlVlENDATION
This recommendation form is to be completed by a teacher or a
counselor who can attest to your academic performance and/or
personal attributes.
Smdern'sNmne _
A~s _
Phone _
Teacher's/Counselor's Name _
Subject Taught _
HighSchool _
SchooIAd~s ~ _
RECOMMENDATIONSIEVALUATION (pleasetype orprint)
Please feel free to write whatever you think is important about the applicant, including a
description of academic and personal characteristics. We are particularly interested in the
candidate's intellectual purpose, motivation, maturity, integrity, independence, originality,
initiative, leadership potential, special talents, and enthusiasm. We welcome any information
that will assist us in distinguishing this student from others. (Use reverse side if necessary.)
Please give an overall rating (Optional)
oBelow Average 0 Average 0 Good 0 Very Good 0 Excellent 0 One of the top few I have encountered

TEACHER/COUNSELOR
RECOMMENDATION
This recommendation form is to be completed by a teacher or a
counselor who can attest to your academic performance and/or
personal attributes.
Student's Name _
A~s _
Phone _
Teacher'S/Counselor's Name _
Su~~tTau~t-------------------------------------------
Hi~School--- _
SchooIA~s _
RECOMMENDATIONSIEVALUATION (please type or print)
Please feel free to write whatever you think is important about the applicant, including a
description of academic and personal characteristics. We are particularly interested in the
candidate's intellectual purpose, motivation, maturity, integrity, independence, originality,
initiative, leadership potential, special talents, and enthusiasm. We welcome any information
that will assist us in distinguishing this student from others. (Use reverse side if necessary)
Please give an overall rating (Optional)
oBelow Average 0 Average 0 Good 0 Very Good 0 Excellent 0 One of the top few I have encountered

SCHOLARSIllP
ESSAY
Granville T. Woods was known as "the greatest electrician in the world,"
even though he was often prevented from advancing in his employment.
Instead of becoming discouraged, he used his inventions to reflect his
mechanical genius. His first and second patents, while successful, did
not provide him with any real income. With his third patent, however,
Woods was able to sell his invention to the Bell Telephone Company
of Boston. It was probably the sale that gave him the needed capital to
establish his own company, Woods Railway Telegraph Company.
Write a well-developed essay explaining how and why a Granville T.
Woods Scholarship would enable you to achieve your goals. Highlight
your academic achievements, your career aspirations, work experiences
and any special circumstances to support your explanation.
To receive a favorable decision regarding your scholarship application,
your essay must have a recognizable thesis statement, an introduction,
at least two body paragraphs, and a conclusion. Your essay must be
typed and double-spaced. Your typed essay will be evaluated for
organization, development, clarity, spelling, grammar and punctuation.
Granville T Woods' dedication to education,
perseverance despite numerous obstacles,
and professional brilliance make him a role model
for scholars.

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