Financial Aid and Scholarship Services Student Services Center, 525 Buena Vista SE Albuquerque, NM 87106 505-224-3090 fax: 505-224-3124 www.cnm.edu New Mexico Scholarship Transfer Transcript Students who have received a New Mexico Scholars, Legislative Endowment, or New Mexico Legislative Lottery Scholarship at CNM will submit this signed form to the CNM Financial Aid and Scholarship Services. A copy of this completed form will be faxed and mailed to the institution indicated below. The student should also make sure to request an academic transcript from CNM and each New Mexico public post-secondary institution they have previously attended for the institution they plan to attend. To Be Completed By Student Name SSN Last First MI Requesting for: N.M. Legislative Lottery Scholarship New Mexico Scholars Institution Transferring To: Legislative Endowment I attended CNM Community College from: ___________ to: ___________ Month/Year Month/Year I request the Financial Aid and Scholarship Services office to provide scholarship information to the New Mexico institution I have indicated above. Signature Date To Be Completed by CNM Financial Aid and Scholarship Services: CNM’s maximum award is 2 Academic years or 4 terms; maximum award at a 4 year institute is 4 academic years or 8 terms. N.M. Legislative Lottery Scholarship Year Fall Fall Fall Fall Credits New Mexico Scholars CumGPA Year Legislative Endowment Credits CumGPA Spring Spring Spring Spring Is student still eligible for program listed above? Yes No Cum Grade Point Average: _______________ GED/ High School Graduation Date: ____________________ Lottery for Students with Disabilities: Yes No If yes, term(s): __________________________________ Leave of Absence used? Yes No If yes, term(s): ______________________________________________ Comments and post-secondary institutes attended: Authorized Signature Printed Name and Title Date CNM Financial Aid and Scholarship Services Buena Vista Drive SE Albuquerque, New Mexico 87106 Phone (505) 224-3140 Fax (505) 224-3124 Please submit your completed form to CNM Main Campus Financial Aid and Scholarship Services
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