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Application for "Student Development Grant"

Clinton Community College Alumni Association

Date of Application: *

Student Name: *

E-mail Addresses: *

Phone Number: *

Faculty Advisor Name: *

Check Payable to: (Note: money cannot be transferred into a Student Senate Account) *

Date of Event/Program/Project: *

Summary description of Program: *

Amount Requested (maximum award is $500): *

Applications must be accompanied by an email or letter of endorsement from a CCC faculty or staff sponsor. Application requests will be reviewed within three weeks of reciept.

Note: A thank you note addressed to the CCC Alumni Board of Directors is greatly apprecaited from all students who are granted funding.