Faculty Scholarship Chair Sign-off
M. Sue Higgins Scholarship
Instructions: Complete this form, sign and date it, and return the form along with ALL the scholarship applications to: Geraldine Peixoto, CCRI Foundation, Flanagan Campus. Upon receipt of all the applications and the sign-off form, the Office of Institutional Advancement will process the scholarship award within two weeks and mail the check to the selected recipient.
Name ______________________________________________ Student I.D. # ____________________
Address ___________________________________ City ________________ State _____ Zip ________
Telephone___________________________________ e-mail____________________________________
1. Has first preference been given to students enrolled in Computer Studies and Information Processing? Yes__ No__
2. Has first preference been given to students enrolled for a second year at CCRI? Yes__ No__
3. Has preference been given to students planning to transfer to a 4-year college or university? Yes__ No__
4. Has preference been given to students based on both need and merit? Yes__ No__
5. Has the selected recipient submitted plans for his/her future? Yes__ No__
6. Has the selected recipient submitted a statement of why they deserve this award? Yes__ No__
7. Is the selected recipient eligible for financial aid at CCRI? Yes__ No__
8. Attached are two (2) letters of recommendation from CCRI faculty/staff? Yes__ No__
9. Does the selected recipient meets all the scholarship eligibility requirements? Yes__ No__
Comments
How many applications were received? ______
Who was on the selection committee?
_______________________________
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_______________________________
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Computer Studies and Information Processing
Department Chair’s Signature / Date
