Scholarship for Transition to College Graduates  

Application Form

INSTRUCTIONS:  Please print clearly or type.  

Return completed form to: 

Applications must be hand delivered by 4:00 p.m. or postmarked no later than November 1, 2005

Name:­­­­­­­­­­­­­­­­­­­­­­­­­­­__________________________________________

 Address:  _______________________________________________________

 Telephone: _____________________________________________________

Social Security No: ________________________________________________

 Are you enrolled in a degree program of study at CCRI?           Yes                 No

 Have you filed a Financial Aid application with

CCRI (004916) listed as one of your college choices?                                 Yes               No

Please write a brief statement of your plans as they relate to your educational and career goals and your long-term goals (attach additional pages as necessary).

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Please write a brief paragraph explaining why you should be selected to  be a Transition to College Scholarship recipient? (attach additional pages as necessary)

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 Important notes:   

• Recipients will be required to write a “thank you” letter to the scholarship donor (name and address information will be made available by TTC).

• Recipients will be expected to give permission for their profiles to be  posted on the TTC web-site.

 I grant my permission to the Scholarship Review Committee to review my academic standing with CCRI’s Office of Enrollment Services, to review my financial need with the College’s Financial Aid Office, and to use my name and photo for publicity purposes.

Signature:­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­_______________________________  Date:___________________