Faculty Scholarship Chair Sign-off
James Johnson Piano 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____________________________________ email___________________________________
1. Is the selected recipient in the Classical Music Track Degree Program at CCRI? Yes__ No__
2. If yes, has the selected recipient studied the Classical Track of Music Literature? Yes__ No__
3. Is the selected recipient in the Jazz Degree Program at CCRI? Yes__ No__
4. Has the selected recipient studied Classical Piano Literature? Yes__ No__
5. 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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Music Department Chair’s Signature/Date
| OIA USE ONLY Payable to:
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