New Mexico Scholarship Transfer Transcript

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