Student Application Form

William S. Hamilton Fund Scholarship

Instructions: Please print clearly or type. Return completed form to:
William S. Hamilton Fund
c/o Geraldine Peixoto
CCRI Foundation
1762 Louisquisset Pike
Lincoln, RI  02865

Applications must be hand delivered by September 1 or postmarked no later than August 24.

Name____________________________________ Student I.D. #________________________

Address________________________________ City________________ State____ Zip______

Telephone______________________________ email_________________________________

  1. Are you a current student at the Community College of Rhode Island?  Yes__ No__
  2. Do you have financial need?  Yes__ No__

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.