SUNY Orange Community College in the High School Program (CCHSP) Scholarship Financial Verification Form To be submitted by high school guidance counselor. Please complete the following: ____________________________ qualifies for free/reduced lunch. He/she will be in (Print Student�s Name) the following SUNY Orange courses through the Community College in the High School Program (CCHSP) in the 2021-2022 academic year: _______________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Guidance Counselor___________________________________________________________ (Print Name) Guidance Counselor Email: Telephone: Guidance Counselor Signature: Date Please send completed form to: Mary Ford, Director, Office of Educational Partnerships, SUNY Orange, 115 South Street, Middletown, NY 10940. Phone: 845-772-1229, Fax: 845-341-4382, Email: mary.ford@sunyorange.edu