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Campus Representative Intake and Update
Are you a faculty or staff member at a community college who would like to serve as your institution's Cooke Campus Representative? You will serve as the primary point of contact for students at your institution as they start and complete their applications for the Undergraduate Transfer Scholarship. Learn more about the role of a Campus Representative
here
.
Questions? Please email Zach Campion,
zcampion@jkcf.org
Institutional Email Address
Device value (hidden)
Device type (hidden)
Email Address
Evening Phone
Mobile Phone
Personal Email Address
Primary Phone
A secondary or personal email helps us stay in touch with Campus Representatives in the event they transition from their role/institution and reduces duplicate records in our system.
Personal Email Address
Device value (hidden) (Personal)
Device type (hidden) (Personal)
Email Address
Evening Phone
Mobile Phone
Personal Email Address
Primary Phone
First Name
Last Name
Full Name (hidden)
Community College Name
Institution CEEB Code
If you do not have a CEEB code, please leave this blank.
Job Title
Office Phone Number
Office Mailing Address
Office Mailing Address
Country
Street
City
Region
Postal Code
Currently, we only permit one representative per campus. Are you replacing the current representative at your community college?
A list of current Campus Representatives can be found
here
.
Currently, we only permit one representative per campus. Are you replacing the current representative at your community college?
A list of current Campus Representatives can be found
here
.
Yes
No
Would you like to receive the Cooke Counselor Newsletter?
You'll receive updates on Cooke Scholarship applications and deadlines, along with resources and tips for counselors, educators, and student-serving organizations.
Would you like to receive the Cooke Counselor Newsletter?
You'll receive updates on Cooke Scholarship applications and deadlines, along with resources and tips for counselors, educators, and student-serving organizations.
Yes
No
Would you like to subscribe to our Cooke Chronicle?
You'll receive our newsletter summarizing news and updates on the issues affecting high-achieving students with financial need.
Would you like to subscribe to our Cooke Chronicle?
You'll receive our newsletter summarizing news and updates on the issues affecting high-achieving students with financial need.
Yes
No
Program of Interest (hidden)
Program of Interest (hidden)
College Scholarship Program
Graduate Scholarship
Undergraduate Transfer Scholarship
Young Scholars Program
Relation (hidden)
Relation (hidden)
Campus Representative
College Fair Invitee
Legacy Contact
Prospective Reader
Reader
By submitting this form, I hereby consent to the Jack Kent Cooke Foundation's collection and processing of any sensitive personal information for the purposes described in the Cooke Foundation's Privacy Policy, which can be found at
https://www.jkcf.org/privacy-policy/
.
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