2015 | 2016 - Carroll Community College › uploadedFiles › CarrollCCedu › Document… · May 1, 2015 – Accepted applicant reply deadline Financial Aid All students are encouraged

APPLICATION FOR ADMISSION · 2015 | 2016

The Martin K.P. and Kelly W. Hill

Scholars Program

We are pleased that you have decided to apply to the Hill Scholars Program at Carroll Community College. Please read the instructions carefully and pay close attention to the deadline dates and the checklist of important information. The Admissions Committee is interested in getting a complete portrait of your academic and extracurricular profile. Your application, along with your transcript, test scores, teacher and guidance counselor recommendations and admissions essay will help us to evaluate you on your academic merits.

Instructions:Please submit your application along with a one-time non-refundable $25 application fee*. This fee is waived for Early Action Applicants. The deadlines for Early Action and Regular Admission are presented below. Each of the following documents is required to accompany your application. • Official High School Transcript (attached to the School Report form). • Official college entrance exam scores (SAT or ACT) • Admission Essay • Two teacher and/or guidance counselor recommendation forms

You have the option to include the following documents. • Official Advanced Placement Test scores

All documents should be submitted to: The Hill Scholars Program Office of Admissions Carroll Community College 1601 Washington Road Westminster, MD 21157

*If this fee presents a financial hardship, please attach a brief statement to this effect in place of the fee.

Application DeadlinesThere are two options for applications, Early Action and Regular Admission. The benefits of applying under the Early Action option include a waived application fee, early notification of the admission decision and the peace of mind offered in knowing that your college career plans are in place.

Early ActionDecember 12, 2014 – Application and scholarship materials dueLate February 2015 – Notification of Early Action admission decisionsMay 1, 2015 – Accepted applicant reply deadline

Regular AdmissionFebruary 20, 2015 – Application and scholarship materials dueMid April, 2015 – Notification of admission to applicantMay 1, 2015 – Accepted applicant reply deadline

Financial AidAll students are encouraged to apply for a scholarship to the Hill Scholars Program. You may also wish to apply for Federal Financial Aid. The Financial Aid Program at Carroll Community College is designed to assist eligible students in meeting their college-related expenses. Financial assistance is provided through scholarships, grants, and employment opportunities. Financial need is determined through a careful review of all information supplied on the Free Application for Federal Student Aid (FAFSA) . This is the standard need analysis system that treats all students equally and fairly. For more information about financial aid, contact the Financial Aid Office at Carroll Community College at 410-386-8434 or visit the website: http://www.carrollcc.edu/services/finaid.

For any questions concerning this application or the Hill Scholars Program, please contact: Director of the Honors Program, Kristie Crumley, 410-386-8408 or Director of Admissions, Candace Edwards, 410-386-8405

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Application for Admission 2015–2016

Applicant Information

Last Name ........................................................................................................................................................................................................................................................................

First Name ................................................................................................................................................................................................................... Middle Initial .....................

Permanent Address ...................................................................................................................................................................................................................................................

City/State/Zip.................................................................................................................................................................................................................................................................

County ................................................................................................................................................................................................................................................................................

Home Phone ..................................................................................................................................................................................................................................................................

Business/Cell Phone ..................................................................................................................................................................................................................................................

Social Security Number ..........................................................................................................................................................................................................................................

Date of Birth ....................................................................................................................................................................................................................................................................

Email Address ................................................................................................................................................................................................................................................................

Gender: Citizenship o Male o USA

o Female o Other than USA

Resident Alien Number........................................................................... Country of Origin ..................................................................................................................

Type of Visa ...................................................................................................... Visa Number .............................................................................................................................

Race/EthnicityColleges and universities are asked by many, including federal and state governments and national surveys, to describe the racial and ethnic backgrounds of our students and employees. You should answer both of the following questions:

1. Are you of Hispanic or Latino origin? o Yes o No

2. What is your race? Select one or more of the following categories: o White o Black or African American o Asian o American Indian or Alaska Native o Native Hawaiian or Other Pacific Islander

Definitions:White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Black or African American: A person having origins in any of the black racial groups of Africa. Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains cultural identification through tribal affiliation or community attachment. Native Hawaiian or Other Pacific Islander: A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands.Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race.

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High School Education

High School Name .....................................................................................................................................................................................................................................................

Address...............................................................................................................................................................................................................................................................................

City/State/Zip.................................................................................................................................................................................................................................................................

Phone ..................................................................................................................................................................................................................................................................................

Date of Graduation ....................................................................................................................................................................................................................................................

Counselor Name ..........................................................................................................................................................................................................................................................

Type of school: o Public o Private o Parochial o Home school

Academic Area of StudyChoose your intended area of study. Each Area of Study includes degree pathways. You may have a specific degree path in mind, or a general area of interest.

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o Business: • Accounting pathway • Business Administration pathway

o Creative Arts: • Performing Arts pathway • Visual Arts pathway

o Education: • Early Education pathways (regular and

special education) • Elementary Education pathways (regular

and special education) • Secondary Education pathways • Teacher Education pathways

o Humanities and Communication: • English pathways (Creative Writing,

Journalism and Literature) • Foreign Language pathway, • History pathway • Philosophy pathway

o Nursing, Physical Therapist Assistant and Allied Heath: • Prerequisites for Selective Admission Programs

(Nursing, Physical Therapist Assistant and Emergency Medical Services)

• Allied Health Program pathways (Bioprocessing Technology, Cardiovascular Technology, Dental Hygiene, Diagnostic Medical Sonography, Nuclear Medicine Technology, Radiography, Respiratory Care, Surgical Technology)

• Health Information Technology

o Science, Technology, Engineering, Math and Health Sciences: • Scientific Exploration pathways (Biology/Pre-

Medical/Pre-Veterinary, Chemistry, Environmental Science, Geoscience, Physics)

• Engineering and Math pathways • Technology pathways • Health Science and Exercise Science pathways

o Social Sciences: • Psychology, Sociology, Social Work pathways • Aging Studies pathways • Political Science pathways • Criminal Justice/Legal Studies pathways

o General Studies (undecided on an Area of Study)

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Additional High School Information

If not currently attending high school, briefly list your activities since you last enrolled:

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Cumulative Grade Point Average: (Unweighted and weighted if available) .....................................................................................................................

Class Rank .........................................................................................................................................................................................................................................................................

SAT/ACT/AP scores (please attach official copies):

SAT: Test Type | Score | Date ..........................................................................................................................................................................................................................

ACT: Score | Date ......................................................................................................................................................................................................................................................

AP: Test Subject | Score | Date ....................................................................................................................................................................................................................

Required EssayA sample of your writing is another means for the Admissions Committee to get to know you. Your expression of ideas and your ability to communicate clearly play an important part in evaluating your academic merit in a way that test scores and grades do not.

You may submit your essay on a separate page with your name and essay title at the top of the page.

Choose one of the following essay topics:

1. A range of academic interests, personal perspectives and life experiences adds much to the educational mix. Given your personal background, describe an experience that illustrates what you would bring to the diversity of the college community or describe an encounter that demonstrates the importance of diversity to you.

2. What is the best advice you’ve ever received?

3. Do you have a “bucket list”? If so, describe a few of those items and explain why they are on your list.

4. The manner in which a person faces difficulties sheds light on that person’s moral character. Describe an ethical dilemma or life challenge that you have faced, your actions and its impact on you.

Additional Information of Interest to the Admissions Committee

Information about your extra-curricular activities, volunteer work, community service and work experience are all vital to the decision-making process of the Admissions Committee. In the space below, offer as many details about your involvement at school and outside of school, including the dates, a description and your responsibilities.

You may include your resume with the same information. If there are any additional aspects of your life or high school career that are not covered in the application, include those details here.

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I certify that the statements made in this application are correct. I understand that failure to provide accurate information may result in the elimination of my application or, if admitted and enrolled, dismissal from the College. I agree to comply with all policies and regulations of Carroll Community College while I am a student. I agree to familiarize myself with and to abide by the policies and regulations of the Drug-Free Schools and Community Act, Drug-Free Workplace Act, Smoke/Tobacco-Free Campus Policy and the Code of Integrity for Academic and Behavioral Standards, which includes both personal conduct and academic integrity. (Found in the College Catalog and www.carrollcc.edu, About Carroll/College Policies/Code of Integrity)

The College prohibits the enrollment of individuals listed on any State Services Sex Offender registry and/or Maryland Department of Public Safety and Correctional Services Sex Offender registry.

Student Signature: ........................................................................................................................................................................Date: ...............................................................................

Parent Signature: (if student is under 18) .....................................................................................................................Date: ...............................................................................

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Applying for Scholarships

Institutional ScholarshipsApplying for Carroll’s institutional scholarships is simple. In addition to a merit-based Hill Scholars scholarship, you may be eligible for other merit-based and need-based institutional scholarships.

The online application process involves the following:

1. Visit Financial Aid’s Institutional Scholarships Programs web page at carrollcc.edu/scholarships.com, and click on the Stars Online link.

2. Create a profile and answer some simple questions. You will be matched scholarships that fit your eligibility.

3. Once scholarships have been identified, apply for each one before the deadline.

4. Look for the Stars Online link to become active in late February 2015.

Need-Based Scholarships:It is your option to fill out the Free Application for Federal Student Aid (FAFSA) application online. Determining your financial need involves a careful review of the information you provide on the FAFSA. All FAFSA’s are reviewed based on an equally and fair analysis system.

Merit-Based Scholarships:Certain scholarships are awarded based on your academic record and intended major. For example, the Commissioners’ Student Leadership Scholarships are open to graduating high school seniors who demonstrate leadership qualities and academic excellence. You need to write an essay about your participation in a service experience or a community activity. You may be able to use the same essay that you wrote for the Admissions Application.

If you have any questions about the scholarship process, call the Financial Aid office at 410-386-8437 or send an email to [email protected].

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Applicant: Please detach this page and fill out the front page of this form and then deliver it to your school counselor.

Last Name ........................................................................................................................................................................................................................................................................

First Name ........................................................................................................................................................................................................................................................................

Middle Initial ...................................................................................................................................................................................................................................................................

Permanent Address ...................................................................................................................................................................................................................................................

City ........................................................................................................................................................................................................................................................................................

State ......................................................................................................................................................................................................................................................................................

Zip ..........................................................................................................................................................................................................................................................................................

County ................................................................................................................................................................................................................................................................................

Home Phone ..................................................................................................................................................................................................................................................................

Business/Cell Phone ..................................................................................................................................................................................................................................................

Date of Birth ....................................................................................................................................................................................................................................................................

Email Address ................................................................................................................................................................................................................................................................

School Report

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School Counselor: Please attach this candidate’s official transcript, including courses in progress, along with a transcript legend, if necessary. Please provide the information below and sign the bottom of the form.

Class rank ............................ in a class of .................................., covering a time from ...................................... to ..................................................................

This rank is o weighted o unweighted

Cumulative GPA ............... in a class of .................................., covering a time from ...................................... to ..................................................................

This GPA is o weighted o unweighted

High School Graduation Date ............................................................................................................................................................................................................................

Counselors Name .......................................................................................................................................................................................................................................................

Position ...............................................................................................................................................................................................................................................................................

School Name .................................................................................................................................................................................................................................................................

School Address .............................................................................................................................................................................................................................................................

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School Phone Number ...........................................................................................................................................................................................................................................

Secondary School CEEB/ACT code .................................................................................................................................................................................................................

Signature of Counselor ...............................................................................................................................................................................................................................................

Thank you!

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Teacher/Counselor Recommendation

Applicant: Please detach this page and fill out the top portion of this form and then deliver it to your school counselor.

Student Name ...............................................................................................................................................................................................................................................................

Student Address ..........................................................................................................................................................................................................................................................

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Student Home Phone ..............................................................................................................................................................................................................................................

Student Business/Cell Phone ..............................................................................................................................................................................................................................

Teacher/Counselor Name .....................................................................................................................................................................................................................................

Position ...............................................................................................................................................................................................................................................................................

High School Name .....................................................................................................................................................................................................................................................

School counselor or teacher: Complete the following questions and offer any additional information on the back of this page or attach a separate sheet.

How long and in what context have you known this student? .................................................................................................................................................

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What are the first words that come to your mind to describe this student? ....................................................................................................................

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List any courses (with grade levels) you have taught this student. Identify the course difficulty ......................................................................

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Ratings Below Average Average Good Very Good Excellent

Academic Achievement o o o o oPersonal Qualities and Character o o o o oMaturity o o o o oIntegrity o o o o oPotential for leadership o o o o oInitiative o o o o o

Continued on back

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Thank you!

Please write whatever you think is important about this student, including a description of academic and personal characteristics. We are particularly interested in the candidate’s intellectual promise, motivation, maturity, integrity, independence, originality, initiative, leadership potential, capacity for growth, special talents, reaction to set backs and enthusiasm. We welcome information that will help us to differentiate this candidate from others. You may use this sheet or attach a separate page.

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Teacher/Counselor Recommendation

Applicant: Please detach this page and fill out the top portion of this form and then deliver it to your school counselor.

Student Name ...............................................................................................................................................................................................................................................................

Student Address ..........................................................................................................................................................................................................................................................

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Student Home Phone ..............................................................................................................................................................................................................................................

Student Business/Cell Phone ..............................................................................................................................................................................................................................

Teacher/Counselor Name .....................................................................................................................................................................................................................................

Position ...............................................................................................................................................................................................................................................................................

High School Name .....................................................................................................................................................................................................................................................

School counselor or teacher: Complete the following questions and offer any additional information on the back of this page or attach a separate sheet.

How long and in what context have you known this student? .................................................................................................................................................

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What are the first words that come to your mind to describe this student? ....................................................................................................................

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List any courses (with grade levels) you have taught this student. Identify the course difficulty ......................................................................

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Ratings Below Average Average Good Very Good Excellent

Academic Achievement o o o o oPersonal Qualities and Character o o o o oMaturity o o o o oIntegrity o o o o oPotential for leadership o o o o oInitiative o o o o o

Continued on back

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Thank you!

Please write whatever you think is important about this student, including a description of academic and personal characteristics. We are particularly interested in the candidate’s intellectual promise, motivation, maturity, integrity, independence, originality, initiative, leadership potential, capacity for growth, special talents, reaction to set backs and enthusiasm. We welcome information that will help us to differentiate this candidate from others. You may use this sheet or attach a separate page.

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1601 Washington Road | Westminster, MD 21157 | 410-386-8000 | 1-888-221-9748 | www.carrollcc.edu