THE MAGIC JOHNSON FOUNDATION (MJF)

SEEKS TO RECOGNIZE STUDENTS WHO HAVE

OUTSTANDING ACADEMIC ACHIEVEMENT,

LEADERSHIP AND A COMMITMENT TO SERVE

THEIR COMMUNITY.

MISSION: MJF works to develop programs and support community-based organizations that address the health, educational and social needs of ethnically diverse urban communities.

SEND APPLICATIONS TO: MAGIC JOHNSON FOUNDATION Taylor Michaels Scholarship Program 9100 Wilshire Blvd. Suite 700 East Tower Beverly Hills, CA 90212

CONTACT USFOR QUESTIONS EMAILklewis@magicjent.com,(310) 246-4400

All requested documents on the checklist must arrive together.

Applications may be faxed to 310.246.1106, or emailed to klewis@magicjent.com, subject line 2013 TMSP Applicant

VERY IMPORTANT… PLEASE NOTE

• Applications missing any of these materials will not be considered.

• Letters of recommendation that arrive separately will not be accepted. Scholarship winners will be required to submit proof of full-time college enrollment and Financial Aid award information before awards are disbursed.

PART D: EXTRACURRICULAR ACTIVITIES/COMMUNITY SERVICE/HONORS (It is ok to attach student Resumes here)

Extracurricular Activities _________________________________________________________

______________________________________________________________________________

Honors and Awards ____________________________________________________________

______________________________________________________________________________

Community Service ____________________________________________________________

______________________________________________________________________________

Leadership ___________________________________________________________________

______________________________________________________________________________

PART E: CERTIFICATION AND AUTHORIZATION RELEASEI hereby certify that all information in this application is true and accurate, I am aware that any misrepresentation will result in the disqualification of my application. I give The Magic Johnson Foundation permission to release my transcripts, Ietters of recommendation, and application to scholarship donors, and to publicize my scholarship award if I am a recipient.

______________________________________________________________________________Signature of Applicant Date

I hereby certify that I have read this application and that the minor applicant has my permission to apply for this scholarship.

______________________________________________________________________________Signature of Parent Guardian (Required for students under 18) Date

PART F: APPLICATION CHECKLIST

o Copy of FAFSA Student Aid Report ONLY INCLUDE THE COVER PAGE INCLUDING ESTIMATED FAMILY CONTRIBUTION (EFC)

o Complete Application Form

o Personal Essays (2)

o Copy of Official High School Transcript

o Two Letters of Recommendation One Letter must be an Academic Reference The second Letter must be either a Personal or Community involvement Reference

o Copy of College Letter of Acceptance (if available)

4

Due to the amount of applications we will not be able to verify receipt. Qualified applicants will be selected for interviews taking place between February 20th and March 24th 2013. Successful applicants will be notified April 6th 2013.” Thank You and GOOD LUCK!

USC 2015

STORY BROOK 2012

BOSTON COLLEGE 2012

TEXAS A&M 2013

SYRACUSE 2016

TEMPLE UNIVERSITY 2013

ABOUT TAYLOR MICHAELS SCHOLARSHIP PROGRAM (TMSP)

The Taylor Michaels Scholarship Program, founded in 1998,

is aptly named after Taylor Michaels, the inspiring Chief

Operating Officer for Magic Johnson Enterprises who passed away

during that year. Throughout her life, Taylor displayed an intense

passion and commitment to youth development. For 14 years,

MJF has carried her passion forward via our program.

Each year we select approximately 30 Scholars who

demonstrate a strong potential for academic achievement,

but face socioeconomic challenges hindering their full

expression. MJF commits to holistically supporting each

TMSP Scholar throughout their entire undergraduate career.

WE PROVIDE CRITICAL SERVICES AND SUPPORT WHICH MAKE THE DIFFERENCE:

• $2,000-5,000 annual tuition assistance-renewable up to 5 years

• An annual Life Skills Leadership Conference

• Comprehensive Career Development Rubric curriculum

• Laptop computers Freshman Year

• 1:1 career, academic, and life skills counseling throughout the year

• Access to internships and mentors

ABOUT THE LEADERSHIP CONFERENCE

Held each summer in Los Angeles, our annual Leadership

Conference provides the tools and resources to support the

Career and Character Development of our undergraduate Scholars.

Leadership development is integral to the mission of MJF.

The Foundation views leadership as a tool for creating progressive

and proactive change within underserved minority communities.

• Please print or type answers on this application. Incomplete or late applications will not be considered.

• This application can also be found online at http://www.magicjohnson.com/foundation/programs.php • COMPLETE Application must be received by February 12, 2013.

APPLICANT QUALIFICATIONS

Applicants must be a graduating high school senior.

Applicants must have and maintain a minimum grade point average of 2.5 (C+) on a 4.0 system.

Applicants must reside in the Metropolitan areas of Atlanta, Lansing, Detriot, Cleveland, Chicago, Houston, New York or Los Angeles County.

Applicants must be attendinga four-year college/university in the fall.

Applications will be judged on the following criteria: compelling essay, academic achievement, evidence of leadership, community service and letters of recommendation

APPLICATION ESSAYS[Essays must specificallyaddress each question below.]

ESSAY #1- PERSONAL STATEMENT Please tell us about yourself. What is your definition of leadership? Describe your personal achievements and accomplishments. Explain any obstacles you have overcome in your life and how they have made an impact.

ESSAY #2- COLLEGE PLANWhy do you wish to attend college? What field of study do you intend to pursue? How do you plan to distinguish yourself as a leader in the future?

PART A: APPLICANT PERSONAL DATA

Name _____________________________________________ Date of Birth _______________

Social Security # _________________________ Sex ________________ Age ____________

Street Address ___________________________________________ Apartment # _________

City __________________________________________ State ____ Zip Code ____________

Home Telephone ___________________________ Cell Phone ________________________

E-mail ________________________________________________________________________

Name of Parent(s) Guardian(s) ____________________________________________________

Home Telephone ___________________________ Cell Phone ________________________

E-mail ________________________________________________________________________

PART B: EDUCATIONAL BACKGROUND

Name Of High School ___________________________________________________________

City ________________________________________________ State ____________________

o Public o Private (check one) GPA ______________________________________

What College/university Do You Plan To Attend?

______________________________________________________________________________

City ________________________________________________ State ____________________

Intended Major(s) _______________________________________________________________

Total Amount Of Other Scholarships Received to date ________________________________

Have You Completed The Free Application For Federal Student Aid/FAFSA Form?o YES o NO (check one)

PART C: FINANCIAL INFORMATION

Parent/Guardian(s)______________________________________________________________

Total Income $ _________________________________________________________________

Number in family _______________________________________________________________

Please include a copy of your FAFSA Student Aid Report ONLY INCLUDE THE COVER PAGE INCLUDING ESTIMATED FAMILY CONTRIBUTION (EFC)

PLEASE USE A 4.0 SCALE

2 3

OFFICIAL APPLICATION

ABOUT TAYLOR MICHAELS SCHOLARSHIP PROGRAM (TMSP)

The Taylor Michaels Scholarship Program, founded in 1998,

is aptly named after Taylor Michaels, the inspiring Chief

Operating Officer for Magic Johnson Enterprises who passed away

during that year. Throughout her life, Taylor displayed an intense

passion and commitment to youth development. For 14 years,

MJF has carried her passion forward via our program.

Each year we select approximately 30 Scholars who

demonstrate a strong potential for academic achievement,

but face socioeconomic challenges hindering their full

expression. MJF commits to holistically supporting each

TMSP Scholar throughout their entire undergraduate career.

WE PROVIDE CRITICAL SERVICES AND SUPPORT WHICH MAKE THE DIFFERENCE:

• $2,000-5,000 annual tuition assistance-renewable up to 5 years

• An annual Life Skills Leadership Conference

• Comprehensive Career Development Rubric curriculum

• Laptop computers Freshman Year

• 1:1 career, academic, and life skills counseling throughout the year

• Access to internships and mentors

ABOUT THE LEADERSHIP CONFERENCE

Held each summer in Los Angeles, our annual Leadership

Conference provides the tools and resources to support the

Career and Character Development of our undergraduate Scholars.

Leadership development is integral to the mission of MJF.

The Foundation views leadership as a tool for creating progressive

and proactive change within underserved minority communities.

• Please print or type answers on this application. Incomplete or late applications will not be considered.

• This application can also be found online at http://www.magicjohnson.com/foundation/programs.php • COMPLETE Application must be received by February 12, 2013.

APPLICANT QUALIFICATIONS

Applicants must be a graduating high school senior.

Applicants must have and maintain a minimum grade point average of 2.5 (C+) on a 4.0 system.

Applicants must reside in the Metropolitan areas of Atlanta, Lansing, Detroit, Cleveland, Chicago, Houston, New York or Los Angeles County.

Applicants must be attendinga four-year college/university in the fall.

Applications will be judged on the following criteria: compelling essay, academic achievement, evidence of leadership, community service and letters of recommendation

APPLICATION ESSAYS[Essays must specificallyaddress each question below.]

ESSAY #1- PERSONAL STATEMENT Please tell us about yourself. What is your definition of leadership? Describe your personal achievements and accomplishments. Explain any obstacles you have overcome in your life and how they have made an impact.

ESSAY #2- COLLEGE PLANWhy do you wish to attend college? What field of study do you intend to pursue? How do you plan to distinguish yourself as a leader in the future?

PART A: APPLICANT PERSONAL DATA

Name _____________________________________________ Date of Birth _______________

Social Security # _________________________ Sex ________________ Age ____________

Street Address ___________________________________________ Apartment # _________

City __________________________________________ State ____ Zip Code ____________

Home Telephone ___________________________ Cell Phone ________________________

E-mail ________________________________________________________________________

Name of Parent(s) Guardian(s) ____________________________________________________

Home Telephone ___________________________ Cell Phone ________________________

E-mail ________________________________________________________________________

PART B: EDUCATIONAL BACKGROUND

Name Of High School ___________________________________________________________

City ________________________________________________ State ____________________

o Public o Private (check one) GPA ______________________________________

What College/university Do You Plan To Attend?

______________________________________________________________________________

City ________________________________________________ State ____________________

Intended Major(s) _______________________________________________________________

Total Amount Of Other Scholarships Received to date ________________________________

Have You Completed The Free Application For Federal Student Aid/FAFSA Form?o YES o NO (check one)

PART C: FINANCIAL INFORMATION

Parent/Guardian(s)______________________________________________________________

Total Income $ _________________________________________________________________

Number in family _______________________________________________________________

Please include a copy of your FAFSA Student Aid Report ONLY INCLUDE THE COVER PAGE INCLUDING ESTIMATED FAMILY CONTRIBUTION (EFC)

PLEASE USE A 4.0 SCALE

2 3

OFFICIAL APPLICATION

THE MAGIC JOHNSON FOUNDATION (MJF)

SEEKS TO RECOGNIZE STUDENTS WHO HAVE

OUTSTANDING ACADEMIC ACHIEVEMENT,

LEADERSHIP AND A COMMITMENT TO SERVE

THEIR COMMUNITY.

MISSION: MJF works to develop programs and support community-based organizations that address the health, educational and social needs of ethnically diverse urban communities.

SEND APPLICATIONS TO: MAGIC JOHNSON FOUNDATION Taylor Michaels Scholarship Program 9100 Wilshire Blvd. Suite 700 East Tower Beverly Hills, CA 90212

CONTACT USFOR QUESTIONS EMAILklewis@magicjent.com,(310) 246-4400

All requested documents on the checklist must arrive together.

Applications may be faxed to 310.246.1106, or emailed to klewis@magicjent.com, subject line 2013 TMSP Applicant

VERY IMPORTANT… PLEASE NOTE

• Applications missing any of these materials will not be considered.

• Letters of recommendation that arrive separately will not be accepted. Scholarship winners will be required to submit proof of full-time college enrollment and Financial Aid award information before awards are disbursed.

PART D: EXTRACURRICULAR ACTIVITIES/COMMUNITY SERVICE/HONORS (It is ok to attach student Resumes here)

Extracurricular Activities _________________________________________________________

______________________________________________________________________________

Honors and Awards ____________________________________________________________

______________________________________________________________________________

Community Service ____________________________________________________________

______________________________________________________________________________

Leadership ___________________________________________________________________

______________________________________________________________________________

PART E: CERTIFICATION AND AUTHORIZATION RELEASEI hereby certify that all information in this application is true and accurate, I am aware that any misrepresentation will result in the disqualification of my application. I give The Magic Johnson Foundation permission to release my transcripts, Ietters of recommendation, and application to scholarship donors, and to publicize my scholarship award if I am a recipient.

______________________________________________________________________________Signature of Applicant Date

I hereby certify that I have read this application and that the minor applicant has my permission to apply for this scholarship.

______________________________________________________________________________Signature of Parent Guardian (Required for students under 18) Date

PART F: APPLICATION CHECKLIST

o Copy of FAFSA Student Aid Report ONLY INCLUDE THE COVER PAGE INCLUDING ESTIMATED FAMILY CONTRIBUTION (EFC)

o Complete Application Form

o Personal Essays (2)

o Copy of Official High School Transcript

o Two Letters of Recommendation One Letter must be an Academic Reference The second Letter must be either a Personal or Community involvement Reference

o Copy of College Letter of Acceptance (if available)

4

Due to the amount of applications we will not be able to verify receipt. Qualified applicants will be selected for interviews taking place between February 20th and March 24th 2013. Successful applicants will be notified April 6th 2013.” Thank You and GOOD LUCK!

USC 2015

STORY BROOK 2012

BOSTON COLLEGE 2012

TEXAS A&M 2013

SYRACUSE 2016

TEMPLE UNIVERSITY 2013