-
8/2/2019 Flvs Scholarship 1
1/4
2012 FLVS Science Scholar Application Form
2012 FLVS Scholar in Science
Who can apply? 1. Must be a senior graduating in 20122. Must
have successfully completed at least one FLVS science
course with a grade of B or higher3. Must have successfully
completed FLVS course(s) in 2011-
2012
What is awarded? $500 Cash Scholarship Award award will be paid
directly toyour matriculating postsecondary institution through
theirfinancial aid office
Where to apply? See below for submission information
When to apply? Application deadline is April 15, 2012; WINNER
WILL BENOTIFIED BY May 20, 2012
How to apply?(if youcan answer yes to thesequestions, then
completeattached application form,include
requiredessay/project)
1. Have you taken at least 1 FLVS Science course with a gradeof
B or better?
2. Are you a senior graduating in 2012?3. Are you currently an
FLVS student or have you successfully
completed FLVS course(s) in 2011-2012?
Rubric to determinewinner
1. FLVS Science course grade2. Response to essay question or
project prompt that is well
written, answers question, demonstrates good
communication skills, good grammar, spelling punctuation
Application and Essay deadline: April 15, 2012(must be
postmarked by 4/15/2012)
Please email or mail the application and essay
to:[email protected] Foundation for Florida Virtual
School
ATTENTION: Scholarship Committee
2145 MetroCenter Blvd., Suite 200
Orlando, FL 32835
Questions? Please contact Jenna Bonazinca
[email protected]
mailto:[email protected]:[email protected]:[email protected]:[email protected]
-
8/2/2019 Flvs Scholarship 1
2/4
2012 FLVS Science Scholar Application Form
APPLICATION FORM: Please complete information below and provide
required documentation
Applicant First Name
Applicant Last Name
Telephone Number
Email Address
FLVS Club Memberships
Postsecondary Institution
Attending & Student ID(ifknown)
Science Courses Taken at Florida Virtual School
Course Name GPA Teacher Name
Student Verification Form: (to be completed by Home School
Educator or Guidance
Counselor)
By signing the verification below, I am affirming that
_________________________ is scheduled
to complete all of his/her high school graduation requirements
and is in good academic
standing.
Signature
Title/Relationship to student
Daytime Telephone #
Date
-
8/2/2019 Flvs Scholarship 1
3/4
2012 FLVS Science Scholar Application Form
Essay or Creative Product Prompt: Science for Tomorrow
Submit ONE of the following:
Essay in 300-500 words: The important thing in science is not so
much to obtain new facts as
to discover new ways of thinking about them. Sir William
Bragg
How can science be used to improve our world today, and why is
it essential to study the
sciences? Please elaborate on concepts you learned in your FLVS
science course.
OR
Creative Product: Use one of the Web 2.0 tools (YouTube, weebly,
voicethread, etc.) to create a
PSA (Public Service Announcement) to describe why the study of
science is important to the
future. In your PSA, please elaborate on concepts you learned in
your FLVS science course.
Your essay/PSA will be judged on the following criteria:
Creativity (30 points) Expression (40 points) Science awareness,
relevance to topic (20 points) Grammar/spelling (10 points)
Your Future PlansWrite a short paragraph (3-5 sentences) about
your plans for college.
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Letter of Recommendation
Please submit a letter of recommendation from your current
science teacher along with your
application and essay.
CONSENT AND AUTHORIZATION TO RELEASE STUDENT INFORMATION
-
8/2/2019 Flvs Scholarship 1
4/4
2012 FLVS Science Scholar Application Form
I, THE UNDERSIGNED STUDENT (OR LEGAL GUARDIAN IF THE STUDENT IS
UNDER THE AGE OF
EIGHTEEN) OF Florida Virtual School, consent to the following,
and hereby authorize Florida Virtual School and any
representatives to release and/or orally discuss the educational
records and information described.
The Specific records covered by this release are:
All student records and information Financial Records
Disciplinary Records Registration and enrollment records
Scholarship Information release Grade Reports (If requesting an
official transcript, use FLVS Request for Transcripts Form) All of
the Above Other: please specify:
__________________________________________________________________________________________________________________________________________.
I understand that the student records listed above include
information which is classified as private and protected under
Florida law and the Federal Family Education Rights and Privacy
Act. I also understand that by signing this consent and
authorization form, I am authorizing Florida Virtual School to
release to the persons named above information which is
otherwise private and may not be accessible to them.
This authorization shall remain valid until (enter date)
_________________, or until I revoke this privilege. I understand
that
to revoke this privilege. I must provide a written statement and
reviewed by FLVS, indicating that my consent to release of
information is no longer given to the party (ies) previously
granted permission.
_______________ ________________________
(Date) (Students Printed Name)
____________________ __________________________________
(Student ID Number) (Students Signature)
___________________ _________________________________
______________________________
(Date) (Parent/Legal Guardian Printed Name) (Parent/Legal
Guardian Signature)
The Family Educational Rights and Privacy Act (FERPA) (20 U.S.C.
1232g; 34 CFR Part 99) is a Federal law that protects the privacy
of student
education records. The law applies to all schools that receive
funds under an applicable program of the U.S. Department of
Education.
