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
SCHOLARSHIP NOT AVAILABLE SPRING 2009.
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.)
8. Have you applied for other CCRI scholarships, funds or awards? Yes___ No___
If yes, please list:
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.
