Student Application Form
Frank A. Orth Scholarship
Instructions: Please print clearly or type. Return completed form to.:
Frank A. Orth Scholarship
Business Administration Department
Chair
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:_______________________________ e-mail_______________________________________
1. Are you enrolled in the Business Administration Department at CCRI? Yes__ No__
2. Are you planning to continue at CCRI? Yes__ No__
3. Why have you chosen to study Business Administration? (Attach additional pages as necessary.)
4. Why should you be selected as the Frank A. Orth Scholarship recipient? (Attach additional pages as necessary.)
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.
