Student Application Form
Daniel J. Garvey Scholarship
instructions: Please print clearly or type. Return completed form to:
Daniel J. Garvey Scholarship
Committee
c/o Criminal Justice and Legal
Studies Department Chair
Community College of Rhode Island
1762 Louisquisset Pike
Lincoln, RI 02865-4585
Applications
must be hand delivered by 4 p.m. or postmarked no later than October 1.
Name____________________________________ Student I.D. #__________________________
Address_______________________________ City___________________ State____ Zip______
Telephone________________________________ email___________________________________
1. Are you currently registered for 9 credit hours at CCRI? Yes__ No__
2. Have you already completed
24 credit hours toward your degree in the Criminal Justice & Legal
Studies Program?
Yes__
No__
3. Do you have at least a 3.0 G.P.A. in your major? Yes__ No__
4. Are you majoring in Paralegal Studies? Yes__ No__
5. Are you majoring in Law Enforcement? Yes__ No__
6. Describe your school and/or community activities. (Attach additional pages as necessary.)
Describe your financial need. (Attach 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.
