"Clay Ford Scholarship for 5th Year Accounting Students Application Form" - Florida

Clay Ford Scholarship for 5th Year Accounting Students Application Form is a legal document that was released by the Florida Department of Business & Professional Regulation - a government authority operating within Florida.

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  • Released on April 1, 2017;
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Revised 04/2017
INSTRUCTIONS FOR THE CLAY FORD SCHOLARSHIP APPLICATION
Disbursements of funds are contingent on an appropriation from the Legislature.
If an applicant has attended a non-accredited institution, the applicant must show acceptance into a graduate degree program at an
accredited institution.
Minorities are defined in 288.703(4), F.S. as a lawful, permanent resident of Florida who is:
(a) An African American, a person having origins in any of the black racial groups of the African Diaspora, regardless of
cultural origin.
(b) A Hispanic American, a person of Spanish or Portuguese culture with origins in Spain, Portugal, Mexico, South America,
Central America, or the Caribbean, regardless of race.
(c) An Asian American, a person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian
Subcontinent, or the Pacific Islands, including the Hawaiian Islands before 1778.
(d) A Native American, a person who has origins in any of the Indian Tribes of North America before 1835, upon presentation
of proper documentation thereof as established by rule of the Department of Management Services.
(e) An American woman.
st
Applications must be postmarked by June 1
of the year in which the scholarship will apply.
APPLICATION CHECKLIST
Clay Ford Scholarship Application
A copy of your most recent college or university transcripts
A copy of your Free Application for Federal Student Aid (FAFSA) Student Aid Report (SAR)
Registrar Verification Form
Financial Aid Verification Form
500-word essay on your career objectives
Checks are normally mailed in September and January. They will be sent to the educational institution and will be made payable to
the educational institution (see Rule 61H1-38.005(2), F.A.C.).
Eligibility Criteria:
1. Applicants must be enrolled as full-time students in a fifth year accounting program as defined in Section 473.306(2), F.S., at an
approved institution as defined in Rule 61H1-27.001, F.A.C., and declared a major in accounting. (See below)
2. Financial need-defined as cost of attendance less the expected family contribution and any gift aid. Gift aid is defined as grant or
scholarship money, which does not have to be paid back. Cost of attendance includes direct educational costs (tuition, supplies, and
computer) and indirect costs (room and board, transportation, laundry, childcare and personal expenses).
3. Must be a minority as defined in 288.703(4), F.S.
4. Applicants must be of good moral character (See Rule 61H1-38.004(5), F.A.C.).
5. Must have a minimum undergraduate GPA of 2.5 based on a scale of 4.0.
6. Must be academically in good standing as defined by the College or University.
7. Must be a Florida Resident.
th
5
Year Accounting Eligibility Requirements (Rule 61H1-38.002):
th
In order to be deemed a 5
year accounting student, you must have:
th
Completed 120 semester hours or 180 quarter hours of an accounting education program and be currently enrolled in your 5
year of study in an accounting education program at a regionally accredited college or university in the state of Florida; or
Be in the final semester in which you will be completing 120 semester hours or 180 quarter hours of academic study in an
th
accounting education program with the intent of enrolling into your 5
year of study in an accounting education program the
following semester at a regionally accredited college or university in the state of Florida.
Pursuant to Rule 61H1-27.002(3), F.A.C., the Florida Board of Accountancy defines a concentration in business and accounting as:
Having completed 24 semester hours in upper-division accounting courses, to include Auditing, Cost/Managerial
Accounting, Taxation, Financial Accounting, and Accounting Information Systems pursuant to Rule 61H1-27.002(3), F.A.C.
Having completed 24 semester hours in general business administration to include three (3) semester hours business law with
coverage in contracts, torts, and Uniform Commercial Code.
Revised 04/2017
INSTRUCTIONS FOR THE CLAY FORD SCHOLARSHIP APPLICATION
Disbursements of funds are contingent on an appropriation from the Legislature.
If an applicant has attended a non-accredited institution, the applicant must show acceptance into a graduate degree program at an
accredited institution.
Minorities are defined in 288.703(4), F.S. as a lawful, permanent resident of Florida who is:
(a) An African American, a person having origins in any of the black racial groups of the African Diaspora, regardless of
cultural origin.
(b) A Hispanic American, a person of Spanish or Portuguese culture with origins in Spain, Portugal, Mexico, South America,
Central America, or the Caribbean, regardless of race.
(c) An Asian American, a person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian
Subcontinent, or the Pacific Islands, including the Hawaiian Islands before 1778.
(d) A Native American, a person who has origins in any of the Indian Tribes of North America before 1835, upon presentation
of proper documentation thereof as established by rule of the Department of Management Services.
(e) An American woman.
st
Applications must be postmarked by June 1
of the year in which the scholarship will apply.
APPLICATION CHECKLIST
Clay Ford Scholarship Application
A copy of your most recent college or university transcripts
A copy of your Free Application for Federal Student Aid (FAFSA) Student Aid Report (SAR)
Registrar Verification Form
Financial Aid Verification Form
500-word essay on your career objectives
Checks are normally mailed in September and January. They will be sent to the educational institution and will be made payable to
the educational institution (see Rule 61H1-38.005(2), F.A.C.).
Eligibility Criteria:
1. Applicants must be enrolled as full-time students in a fifth year accounting program as defined in Section 473.306(2), F.S., at an
approved institution as defined in Rule 61H1-27.001, F.A.C., and declared a major in accounting. (See below)
2. Financial need-defined as cost of attendance less the expected family contribution and any gift aid. Gift aid is defined as grant or
scholarship money, which does not have to be paid back. Cost of attendance includes direct educational costs (tuition, supplies, and
computer) and indirect costs (room and board, transportation, laundry, childcare and personal expenses).
3. Must be a minority as defined in 288.703(4), F.S.
4. Applicants must be of good moral character (See Rule 61H1-38.004(5), F.A.C.).
5. Must have a minimum undergraduate GPA of 2.5 based on a scale of 4.0.
6. Must be academically in good standing as defined by the College or University.
7. Must be a Florida Resident.
th
5
Year Accounting Eligibility Requirements (Rule 61H1-38.002):
th
In order to be deemed a 5
year accounting student, you must have:
th
Completed 120 semester hours or 180 quarter hours of an accounting education program and be currently enrolled in your 5
year of study in an accounting education program at a regionally accredited college or university in the state of Florida; or
Be in the final semester in which you will be completing 120 semester hours or 180 quarter hours of academic study in an
th
accounting education program with the intent of enrolling into your 5
year of study in an accounting education program the
following semester at a regionally accredited college or university in the state of Florida.
Pursuant to Rule 61H1-27.002(3), F.A.C., the Florida Board of Accountancy defines a concentration in business and accounting as:
Having completed 24 semester hours in upper-division accounting courses, to include Auditing, Cost/Managerial
Accounting, Taxation, Financial Accounting, and Accounting Information Systems pursuant to Rule 61H1-27.002(3), F.A.C.
Having completed 24 semester hours in general business administration to include three (3) semester hours business law with
coverage in contracts, torts, and Uniform Commercial Code.
Revised 04/2017
Personal Data
1.
Enter your social security number in xxx-xxx-xxxx format. For instance, 000-00-0000.
2.
Enter your date of birth in Month-Day-Year format. For instance, 08-17-1975.
3.
Check the appropriate box relating to your gender.
Answer “Yes” if you are a permanent resident of Florida and “No” if you are not.
4.
5.
Enter your last name, first name, middle initial, and suffix. For instance, Doe, John K. Jr.
st
6.
Enter your street address, city, state, and zip code. For instance, 1111 1
Street, Christmas, Florida 12345
Enter your phone number and mobile number area code first. For instance, (111) 111 – 1111.
7.
8.
Check the appropriate box relating to your minority designation.
9.
Enter the name of each college or university that you attended, the name of the degree program and concentration you
were/are enrolled, the date you received your degree (enter an anticipated date if you have not graduated) and your GPA. For
instance:
DATE DEGREE
UNIVERSITY/COLLEGE
DEGREE AND CONCENTRATION
RECEIVED
GPA
University of Florida
BS in Accounting
12-12-2016
3.63
10. Answer “Yes” if you have completed 120 semester hours or 180 quarter hours with a concentration in business and
accounting as Pursuant to Rule 61H1-27.002(3) and “No” if you have not.
11. If you answered “No” to the previous question, enter the date in which you anticipate enrolling in your fifth year of an
accounting education program. For instance, 01/06/2017.
12. A 3/2 program is a program that a student enrolls in that awards both a bachelor’s degree and a master’s degree. If you are
unsure of your status, please check with your university/college. Answer “Yes” if you are enrolled in a 3/2 program.
Otherwise, answer “No”.
13. Use caution when answering the background question. Unless your records have been sealed or expunged, you are required
to answer “Yes” to this question if you have ever been convicted or found guilty of a crime. Additionally, if you plead no
contest or guilty to a crime, even if the adjudication was withheld by the court, you are still required to answer “Yes” to this
question. Your answer to this question may be checked against local, state and federal records. Failure to answer this
question accurately may result in the denial or revocation of your application. If you do not understand the background
question, consult with an attorney or contact the department. If answering yes to this question, please include separate
statement giving full details.
14. Sign and date the application
15. Enter your first name, last name, and the name of your institution in the release at the bottom of the page.
Provide the registrar’s office with the Registrar’s Form for completion
Provide the financial aid office with the Financial Aid Form for completion.
Submit you application, the registrar’s form, the financial aid form, official copies of your transcripts, your 500-word essay, and a
copy of your Student Aid Report together in one envelope to the following address:
Florida Board of Accountancy
Attn: Clay Ford Scholarship
th
240 NW 76
Drive, Suite A
Gainesville, FL 32607
Revised 04/2017
FLORIDA BOARD OF ACCOUNTANCY
CLAY FORD SCHOLARSHIP FOR
5TH YEAR ACCOUNTING STUDENTS
THIS PROGRAM EXISTS TO PROVIDE SCHOLARSHIPS TO MINORITY ACCOUNTING STUDENTS AND TO PROVIDE
FINANCIAL ASSISTANCE FOR THE FIFTH YEAR OF AN ACCOUNTING EDUCATION. AWARDING OF SCHOLARSHIP
MONIES HAS NO BEARING ON THE ELIGIBILITY TO SIT FOR THE CPA EXAMINATION OR BECOME LICENSED AS A
FLORIDA CERTIFIED PUBLIC ACCOUNTANT. ALL APPLIANTS MUST BE ENROLLED AS A FULL-TIME STUDENT IN
THEIR FIFTH YEAR OF AN ACCOUNTING EDUCTION PROGRAM AS DEFINED IN CHAPTER 473.3065, F.S.
Social Security Number
Date of Birth:
XXX-XX-XXXX
MM-DD-YYYY
□ MALE
□ FEMALE
Gender:
Are you a permanent Florida
□ YES
□ NO
resident?
Last Name
First Name
Middle Initial
Suffix
Street Address
City
State
Zip Code
Home Phone Number (__________) ___________ - ____________ Mobile Phone Number: (_________) _________ - __________
Under which of the following minority designations do you qualify:
An African American, a person having origins in any of the black racial groups of the African Diaspora, regardless of cultural
origin. See Chapter 288.703(4)(a), F.S.
A Hispanic American, a person of Spanish or Portuguese culture with origins in Spain, Portugal, Mexico, South America,
Central America, or the Caribbean, regardless of race. See Chapter 288.703(4)(b), F.S.
An Asian American, a person having origins in any of the original peoples of the Far East, Southeast Asia, the Indian
Subcontinent, or the Pacific Islands, including the Hawaiian Islands before 1778. See Chapter 288.703(4)(c), F.S.
A Native American, a person who has origins in any of the Indian Tribes of North America before 1835, upon presentation of
proper documentation thereof as established by rule of the Department of Management Services. See Chapter 288.703(4)(d),
F.S.
An American woman. See Chapter 288.703(4)(e), F.S.
□ YES
□ NO
Do you plan on taking the CPA Exam?
If Yes, When?
MM/YYYY
If no, please explain: _______________________________________________________________________________________
Revised 04/2017
Education
Cumulative
University/College
Degree and Concentration
Date Degree Awarded
GPA
Have you completed 120 semester hours or 180 quarter hours of education at a
□ YES
□ NO
regionally accredited college or university with a concentration in accounting
pursuant to Rule 61H1-27.002(3)? (See application instructions)
If no, when do you anticipate completing this requirement?
MM/YYYY
Are you currently enrolled as a full-time student in your fifth year of an
□ YES
□ NO
accounting education program at a regionally accredited college or university in
the state of Florida?
Where?
Institution Name
City
State
Zip
If no, when do you anticipate enrolling into your fifth year of an accounting
education program?
MM/YYYY
Are you enrolled, or are you planning on enrolling, into a 3/2 bachelor/master
□ YES
□ NO
program?
When do you expect to complete either your 3/2 bachelor/master program or
graduate accounting program?
MM/YYYY
Employment Record
□ YES
□ NO
Are you currently employed?
Position
Employer
Dates of Employment
Revised 04/2017
Career Objectives (500 Word Essay)