ÐÏà¡±á>þÿ <>þÿÿÿ;ÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿì¥Á9 ð¿Sbjbjnn A"åªhåªhCÿÿÿÿÿÿ·ØØjjjjjÿÿÿÿ~~~8¶,â$~v+ðáááõ*÷*÷*÷*÷*÷*÷*$f-¶0Â+jááááá+jjÛ0+ÿÿÿáFjjõ*ÿáõ*ÿÿªÅ(|*ÿÿÿÿPwG5@âØÿÿÿÿ'RA)á*F+0v+S)ÆÞ0yLÞ0$*Þ0j*Èááÿááááá++Å:áááv+ááááÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÿÞ0áááááááááØX0: Cook Achievement Fund Coversheet Name: ________________________________ Ä¢¹½tv Campus Email: _________________________ Banner ID: ____________________________ Home/Cell Phone: Major: _____________________ 2ndMajor/Minor: ____________________ Grad. Year: _______________ Date of application: _________ Date funds needed: _________ Date(s) of activity: ____________ Total Cost of Activity: ____________ Amount you/your family will contribute: ___________ Amount Requested of HC Achievement Fund to make the activity possible: ___________ I am currently in good academic standing in the CHC and will have been in good standing for two consecutive semesters by the date funds are needed. YES/NO One sentence description of proposal including name of program for which you need support: ______________________________________________________________________________________ ______________________________________________________________________________________ For the purposes of financial aid and bookkeeping – not the value of the program, please answer the following: 1. Will you receive academic credits from Ä¢¹½tv for this proposal? YES/NO 2. Will you receive academic credits from another institution for this proposal? YES/NO 3. Do you currently receive financial aid in the form of grants or subsidized loans? YES/NO 4. I have discussed this proposal with a professor in my major or minor. 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