Application for Graduate Tuition Scholarship Award

Application for Graduate Tuition Scholarship Award

First name

Last name

Email

Student ID

Street

City

State

Zip code

Employing department

Appointment or position held

Currently enrolled program

Tuition type

Please list all courses only for the term you are applying the scholarship towards

Course number Ex. CPS 512

Course title

Term

Credit hours

Course number

Course title

Term

Credit hours

Course number

Course title

Term

Credit hours

Course number

Course title

Term

Credit hours

Course number

Course title

Term

Credit hours

Course number

Course title

Term

Credit hours

Total credit hours

Today's Date (mm/dd/yyyy)

By checking this box, I hereby declare that I am eligible for a graduate tuition scholarship award under applicable board of trustees resolutions and request approval of a graduate tuition scholarship award. I understand that even if approved for a graduate tuition scholarship award, I am responsible to pay all fees associated with my full tuition and that the graduate tuition scholarship award does not pay these fees.

I agree and understand terms