Scholarship Chair sign-off - CCRI Foundation

Faculty Scholarship Chair Sign-off

M. Sue Higgins Scholarship

Instructions: Complete this form, sign and date it, and return the form along with ALL the scholarship applications to: Geraldine Peixoto, CCRI Foundation, Flanagan Campus. Upon receipt of all the applications and the sign-off form, the Office of Institutional Advancement will process the scholarship award within two weeks and mail the check to the selected recipient.

Name ______________________________________________ Student I.D. # ____________________

Address ___________________________________ City ________________ State _____ Zip ________

Telephone___________________________________ e-mail____________________________________

1. Has first preference been given to students enrolled in Computer Studies and Information Processing? Yes__ No__

2. Has first preference been given to students enrolled for a second year at CCRI? Yes__ No__

3. Has preference been given to students planning to transfer to a 4-year college or university?
Yes__ No__

4. Has preference been given to students based on both need and merit? Yes__ No__

5. Has the selected recipient submitted plans for his/her future? Yes__ No__

6. Has the selected recipient submitted a statement of why they deserve this award? Yes__ No__

7. Is the selected recipient eligible for financial aid at CCRI? Yes__ No__

8. Attached are two (2) letters of recommendation from CCRI faculty/staff. Yes__ No__

9. Does the selected recipient meets all the scholarship eligibility requirements? Yes__ No__

Comments

How many applications were received? ______

Who was on the selection committee?

_______________________________

____________________________________________
Computer Studies and Information Processing
Department Chair’s Signature / Date