Student Application Form
Solomon A. Solomon Business Administration Scholarship
Instructions: Please Print Clearly or Type and return completed form to:
Solomon A. Solomon Business Administration Committee
Business Administration Dept. Chair
400 East Avenue
Warwick, RI
02886
Application must be postmarked by 4:00 p.m. no later than April 1.
Name _________________________________Student I.D. # ___________________________
Address ___________________________City ___________________ State _____ Zip________
Telephone ________________________________e-mail________________________________
1. Are you graduating from CCRI? Yes__ No__
2. Are you transferring to Bryant University? Yes__ No__
or
3. Are you transferring to a four-year college/university? Yes__ No__
Name of Institution ___________________________
4. Have you attached your letter of acceptance from the four-year institution? Yes__ No__
5. What is your G.P.A.?__________
I grant my permission to the scholarship review committee to review my academic standing with CCRI’s Office of Enrollment Services, 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.
