Student Application Form

James Johnson Piano Scholarship

Instructions: Please print clearly or type. Return completed form to:

CCRI Foundation's James Johnson Piano Scholarship Committee
c/o Music Department Chair
Community College of Rhode Island
400 East Avenue
Warwick, RI 02886-1807

Applications must be hand delivered by 4 p.m. or postmarked no later than April 1.

Name_________________________________________ Student I.D. #_____________________

Address_______________________________ City________________ State____ Zip__________

Telephone_________________________________ email_________________________________

1. Are you in the Classical Music Track Degree Program at CCRI? Yes__ No__

2. If yes, have you studied the Classical Track of Music Literature? Yes__ No__

3. Are you in the Jazz Degree Program at CCRI? Yes__ No__

4. Have you studied Classical Piano Literature? Yes__ No__

5. Why have you chosen to study piano? (Attach additional pages as necessary.)

6. Why should you be selected as the James Johnson Piano Scholarship recipient? (Attach additional
pages as necessary.)

I grant my permission to the Scholarship Review Committee to review my academic standing with CCRI’s Office of Admissions and Records, to review my financial need with CCRI’s Financial Aid Office, and to use my name and photo for publicity purposes.

_____________________________
Student Signature/Date

Important Note: Scholarship recipient is required to write a thank you note (memo and sample thank you note) to the scholarship donor, and provide a brief biography (printable bio form) about themselves and their education/career goals and return both to: Geraldine Peixoto, CCRI Foundation, Flanagan Campus, 1762 Louisquisset Pike, Lincoln, RI 02865. Please contact the CCRI Foundation if you need assistance in completing this responsibility at 333-7150 or e-mail at foundation@ccri.edu.