Student Application Form
Stephen Flaherty DECA Scholarship
Instructions: Please print clearly or type. Return completed form to:
Stephen Flaherty DECA Scholarship
Committee
c/o DECA Advisor
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 a member in good standing of the Delta Epsilon Chi Division of DECA at CCRI? Yes__ No__
2. Are you graduating from CCRI and transferring to a four-year institution? Yes__ No__
3. I have attached a copy of my acceptance letter from the four-year institution. Yes__ No__
4. Are you eligible for financial aid? Yes__ No__
5. State your G.P.A. ______________
6. Attached are two (2) letters of recommendation from CCRI faculty/staff. >Yes__ No__
7. Will you consent to an interview, if necessary? Yes__ No__
8. Describe your educational background, DECA experience, honors, and awards. (Attach maximum ½ page response.)
9. Why should you be selected as the Stephen Flaherty DECA Scholarship recipient? (Attach maximum ½ page response.)
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.
