Scholarship Chair  Sign-off

William S. Hamilton Fund

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 a current student at the Community College of Rhode Island?  Yes__ No__
  2. Does the selected recipient have financial need?  Yes__ No__
  3. 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