Student Application Form

East Greenwich Rotary Club Vocational Award

Instructions: Please print clearly or type. Return completed form to:
CCRI Foundation
1762 Louisquisset Pike
Lincoln, RI 02865

Applications must be hand delivered by 4:00 p.m. or postmarked no later than September 1.

Name____________________________________ Student I.D. #________________________

Address________________________________ City________________ State____ Zip______

Telephone______________________________ email_________________________________

1. Are you a continuing student who has completed 15 credit hours? Yes__No__

2. Have you sent time in the work force prior to returning to school? Yes__No__

3. Have you done any community service (use a separate sheet to explain)? Yes__No__

4. Are you eligible for financial aid? Yes__No__

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.