Student Application Form

Pohle Scholarship for Business Administration

Instructions: Please print clearly or type. Return completed form to.:

Pohle Scholarship for Business Administration
c/o Business Administration Department Chair
Community College of Rhode Island
400 East Avenue
Warwick, RI 02886

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 continuing in the Business Administration Department program? Yes__ No__

2. Will is your overall G.P.A? ___________

3. Why should you be nominated to receive this award? (Attached 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.