Scholarship Chair sign-off - CCRI Foundation

Faculty Scholarship Chair Sign-off

CCRI Alumni Association 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______________________________________ email________________________________

1. Is the selected recipient a continuing student at CCRI? Yes__ No__

2. Does the selected recipient have a G.P.A. of 2.5 or higher? Yes__ No__
G.P.A. _____

3. Does the selected recipient have 30 or more credits? Yes__ No__

4. Is a one-page typed essay describing the selected recipient’s educational/career objectives and reasons why he/she should be selected as the CCRI Alumni Award recipient attached? Yes__ No__

5. Does the selected recipient meet all the scholarship eligibility requirements? Yes__ No__

Comments:

How many applications were received? _____

Who was on the selection committee

______________________________

____________________________________
Director of Alumni Relations’ Signature/Date