STATE UNIVERSITY SYSTEM OF FLORIDA

2009-2010

JOHNSON SCHOLARSHIP FOUNDATION
SCHOLARSHIP*

IMPORTANT: READ AND RETAIN A COPY FOR YOUR RECORDS

APPLICATION DEADLINE FOR MATERIALS

TO BE SENT TO UNIVERSITY (IES) IS: JUNE 15, 2009

 
*This program is contingent upon annual funding by the Theodore R. and
Vivian M. Johnson Scholarship Foundation, Inc. (a/k/a the Johnson Scholarship
Foundation) and matching funding by the Florida Legislature.

The Johnson Scholarship, funded by the Johnson Scholarship Foundation, is a competitively awarded program which is available to undergraduate students with disabilities with financial need who enroll in a State University System of Florida (SUS) institution. You must adhere to the following application guidelines in order to qualify for full consideration.

ALL APPLICANTS:
In order to demonstrate financial need, all applicants must complete a 2009-2010 Free Application for Federal Student Aid (FAFSA) or Renewal FAFSA form, and mail it to the appropriate address as indicated on the FAFSA form. To receive full consideration, the FAFSA should be mailed or completed online no later than June 15, 2009.

INITIAL APPLICANTS MUST:
Provide an official current transcript (not a photocopy) which documents a cumulative grade point average of at least 2.0 (on a 4.0 scale) on all credits. High school students who are applying for the first year of college should submit a current high school transcript.

Provide documentation of the nature and/or extent of a disability. The disability must be in one or more of the following classifications: hearing impairment, physical impairment;specific learning disability; speech/language impairment; visual impairment; or other impairment. Appropriate documentation includes, but is not limited to, either a recent psychological evaluation used to determine eligibility for exceptional student services,school/medical records, certification by the Division of Blind Services, or a Vocational Rehabilitation eligibility determination. Documentation provided must meet the guidelines require by the institution in which the student is enrolled. Students must contact the University Office of Student Disability Services for clarification as to what is required.

Gain admission as a degree-seeking undergraduate student into a State University System of Florida (SUS) institution.

Be determined to be Florida Residents for Tuition Purposes, based upon 1009.21, Florida Statutes.

Submit the following:
         - A completed 2009-2010 Johnson Scholarship Application Form;
         - A current official transcript
         - Documentation of a disability(ies);
         - A personal statement (no more than one double-spaced page) pertaining to your achievements, activities, career goals, and the effects of your disability(ies); and
         - Three letters of reference addressing your academic success and potential.
         - Mail or complete on-line a 2009-2010 FAFSA form as indicated above.

RENEWAL APPLICANTS MUST:
Continue to have financial need and adhere to minimum enrollment, progress, and grade point average requirements of the program, plus:
         - Submit a completed 2009-2010 Johnson Scholarship Application Form to the desired SUS institution;
         - Mail or complete on-line a 2009-2010 FAFSA form as indicated above.


Note: Former out-of-state Scholarship recipients who are eligible may continue to seek renewal. Florida residency for tuition purposes is required for all new applicants awarded Fall 2007 and beyond.

APPLICATION PROCEDURES:
If you apply for admission at more than one SUS institution, submit completed Johnson Scholarship application materials to each university. The application should be sent to the contact person listed at the end of these instructions.

Applications, disability documentation, personal statements, letters of reference, and an official transcript must be received by the institution(s) no later than June 15, 2009.

NOTIFICATION:
All applicants will be notified of their status as Johnson Scholarship recipients, alternate award candidates, or as students who were not selected. Notification letters will be mailed in July to the permanent address which is specified on the application forms.

IF SELECTED, RECIPIENTS MUST:
Complete and return an acceptance form by the date specified on your notification letter. Failure to return the acceptance form by the specified date will result in forfeiture of the award.

First-time recipients must participate in a Johnson Scholarship orientation.

Complete a minimum of nine (9) credit hours each semester.

Adhere to the minimum 2.0 cumulative grade point average requirement of this program.

Apply for renewal consideration for each academic year in which you desire the award. Johnson Scholarship recipients may qualify for the award for up to twelve (12) semesters of undergraduate study.

AWARD PAYMENT:
After verification of enrollment, the university will disburse the award on a prorated basis each academic term to eligible Johnson Scholarship recipients. The dollar amount of the 2009-2010 awards is contingent upon the level of funding from the Theodore R. and Vivian M. Johnson Scholarship Foundation, Inc. and the Florida Legislature.

FOR ADDITIONAL INFORMATION:
Call or write the appropriate University Contact(s) listed on these instructions.


State University System of Florida Johnson Scholarship
Funded by The Johnson Scholarship
University Contacts

Submit a completed 2009 – 2010 Johnson Scholarship application form and supporting materials to the appropriate contact(s) listed below:

Dr. Nathaniel Holmes, Director, LDEC
Florida A&M University
667 Ardelia Court
Tallahassee, Florida 32307
Voice Ph.: (850) 599-3180
TDD Ph.: (850) 561-2757
Nathaniel.Holmes@famu.edu
 
Ms. Louise Friderici, Associate Director
Student Disability Services
University of Central Florida
P.O. Box 160161; FC 132
Orlando, Florida 32816-0161
Voice Ph.: (407) 823-2371
TDD Only: (407) 823-2116
sds@mail.ucf.edu
 
Ms. Nicole Rokos, Director
Office for Students with Disabilities
Florida Atlantic University
Post Office Box 3091
777 Glades Road SU 80, Room 133
Boca Raton, Florida 33431-0991
Voice Ph.: (561) 297-3880
TDD Ph.: (561) 297-0358
Nrokos@fau.edu
 
Susan A. Swiderski
Learning Specialist
University of Florida
Building 0020 (Reid Hall)
Post Office Box 114085
Gainesville, Florida 32611-4085
Voice Ph.: (352) 392-8565 Ext. 205
TDD Ph.: (352) 392-3008
susanas@dso.ufl.edu
www.dso.ufl.edu/drp/
 
Ms. Cori Bright
Office of Adaptive Services
Florida Gulf Coast University
10501 Ben Hill Griffin Parkway
Fort Myers, Florida 33965-6565
V: (239) 590-7956
TTY: (239) 590-7930
CBright@fgcu.edu
 
Dr. Kristine Webb, Director
Dr. Robert E. Lee, Associate Director
Disability Resource Center
University of North Florida
Honors Hall Building Bldg 10 Room 1201
4567 St. Johns Bluff Road, South
Jacksonville, Florida 32224-2645
TDD/V Ph.: (904) 620-2769
Kwebb@unf.edu; Rlee@unf.edu
 
Amanda L. Niguidula, MPA
Disability Resource Center
Florida International University
1120 SW 8 Street, GC 190
Miami, Florida 33199
TDD: (305) 348-3852
Voice Ph.: (305) 348-3532
garciaj@fiu.edu
 
Dr. Jose Hernandez, Director
Diversity & Equal Opportunity
University of South Florida
4202 East Fowler Avenue, ADM 172
Tampa, Florida 33620-6150
Voice Ph.: (813) 974-4373
TDD Ph.: (813) 974-5651
jhernand@admin.usf.edu
 
Ms. Bea Awoniyi
Assistant Dean of Students
Florida State University
Director of Student Disability Resource Center
97 Woodward Avenue, South
108 Student Services Building
Tallahassee, FL 32306-9566
Voice Ph.: (850) 644-9566
TDD.: (850) 644-9566
bawoniyi@admin.fsu.edu
 
Dr. Lusharon Wiley
Associate Dean of Students
Student Disability Resource Center
University of West Florida
11000 University Parkway
Building 21/130
Pensacola, Florida 32514
Voice Ph.: (850) 474-2161
lwiley@uwf.edu
 
Mr. Christopher Pantzis, Director
Student Disability Services
New College of Florida
5800 Bayshore Road/PKV100
Sarasota, Florida 34243
Voice Ph.: (941) 359-4254
Pantzis@ncf.edu
 

Johnson Scholarship
Funded by The Johnson Scholarship Foundation
2009 – 2010 Application Form

This form and supporting application materials must be received by the appropriate State University System of Florida institution no later than June 15, 2009. Incomplete applications will not be considered. If you choose to apply to more than one SUS institution, you must submit complete application materials to each. University contact addresses are listed on the Scholarship instruction pages.


All applicants must also complete a 2009 - 2010 Free Application for Federal Student Aid(FAFSA) form or Renewal FAFSA form and mail it to the address indicated on the FAFSA form by June 15, 2009 in order to receive full consideration.

PLEASE PRINT OR TYPE

                      

CHECK ALL DISABLING CONDITION(S) THAT APPLY:

                                      
                                  
                                                                        (includes ADHD/ADD)

HAVE YOU BEEN ADMITTED TO THE UNIVERSITY? (check one)      

2009 - 2010 ACADEMIC LEVEL:
(check one)                    



SELECTIVE SERVICE REGISTRATION


         
         
                members of Reserve and National Guard units who are not on active duty).
         
         
         
                permanent resident of the Trust Territory of the Pacific Islands (Palau).

RESIDENCY FOR TUITION PURPOSES STATUS (check one):

CITIZENSHIP STATUS (check one):
         

         
               

ETHNIC ORIGIN (check one*):
                                   


(*Failure to disclose your ethnic origin will not disqualify your application)

Initial applicants must submit to the appropriate University:
         - A completed 2009-2010 Johnson Scholarship Application
         - A current official (not a photocopy) transcript;
         - Appropriate documentation of the nature and/or extent of a disability;
         - A personal statement pertaining to your achievements, activities, career goals; and
         - Three letters of references addressing your academic success and potential.
         - You must complete on-line or mail a FAFSA form to the address indicated on the FAFSA form by June 15, 2009.

Renewal applicants must submit the following to the appropriate University:
         - A completed 2009-2010 Johnson Scholarship Application.
         - You must complete on-line or mail a FAFSA form to the address indicated on the FAFSA form by June 15, 2009.

I certify that I have read and understood the conditions for participation in this program. The information I am supplying in this application is true, complete, and correct. By signing the form, I also grant permission for information pertaining to my financial need, and all supporting application materials, to be released by the appropriate university to the Board of Governors Office for Academic and Student Affairs. NOTICE: If you purposely give false information, you may be subject to fine, or imprisonment, or both under 827.06, F.S.

      
(Signature-type name & email address if submitting electronically)   System date will be used as the official date of submission.       

SUBMIT APPLICATION MATERIALS TO THE APPROPRIATE UNIVERSITY CONTACT
PERSON(S) LISTED AT THE END OF THE SCHOLARSHIP INSTRUCTIONS.

[UWF ONLY]