Student Application Form
M. Sue Higgins Scholarship
Instructions: Please print clearly or type. Return completed form to:
CCRI Foundation's M. Sue Higgins Scholarship Committee
c/o Computer Studies and Information Processing 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_______________________________ email____________________________________
1. Are you enrolled in the Computer Studies and Information Processing Program? Yes__No__
2. Are you enrolled for a second year at CCRI? Yes__No__
3. Are you transferring to a 4-year college/university? Yes__No__
4. Are you eligible for financial aid at CCRI? Yes__ No__
5. What is your G.P.A.? ______
6. Attached are two (2) letters of recommendation from CCRI faculty/staff? Yes__ No__
7. Why should you be selected as the M. Sue Higgins 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. _________________________________________
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.
Student Signature/Date
