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 SIDN Last First Legislative Lottery Scholarship MI Requesting for: New Mexico Scholars Institution Transferring To: Legislative Endowment I attended CNM Community College from: ___________ to: ___________ Month/Year Month/Year I am requesting that Financial Aid and Scholarship Services provide scholarship information to the New Mexico institution I have listed above. Signature Date To Be Completed by CNM Financial Aid and Scholarship Services: Legislative Lottery Scholarship Year Credits CumGPA Spring Spring Spring Spring Year Legislative Endowment Credits CumGPA Fall Fall Fall Fall Is student still eligible for program listed above? Cum Grade Point Average: _______________ Students with Disabilities: No Yes Request for Probation used? No Yes Comments & other institutes attended: Authorized Signature Printed Name and Title Date 5/2016 New Mexico Scholars No Yes GED/ High School Graduation Date: ___________________ If yes, term(s): __________________________________ If yes, term(s): __________________________________ CNM Financial Aid and Scholarship Services 525 Buena Vista Drive SE Albuquerque, New Mexico 87106 Phone (505) 224-3140 Fax (505) 224-3124 Submit completed form to Financial Aid and Scholarship Services-Main Campus
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