Faculty / Scholarship Chair Sign-off

East Greenwich Rotary Club Vocational Award

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. Has the selected recipient completed 15 hours at the Community College of Rhode Island? Yes__ No__
  2. Did the selected recipient spend time in the workforce before returning to school? Yes__ No__
  3. Has the selected recipient provided sufficient documentation regarding their community service involvement? Yes__ No__
  4. Does the selected recipient have finanical need? Yes__ No__

Does the selected recipient meets all the scholarship eligibility requirements? Yes__ No__

Comments: _______________________________________________________________________________

________________________________________________________________________________________

How many applications were received? _____

Who was on the selection committee?

___________________________ _________________________________ ______________________________


____________________________________________________________________________________
Scholarship Chair’s Signature/Date

OIA USE ONLY

Payable to:

  • Student only
  • Student & CCRI
  • Student & 4-year Institution
  • Acceptance Letter
  • Award Amount: $ _____________________
  • Thank You Letter
  • Bio Form