For the 20____ - 20____ Academic Year
Return no later than April 1st to:
Southern Utah University
Graduate Studies in Education - Tuition Waiver
c/o Bobbie Jensen
351 W. University Blvd., Old Main 213
Cedar City, UT 84720
THE TUITION WAIVER IS NOT AVAILABLE FOR SUMMER SESSIONS.
Date: _____________________________________________ |
T#: ______________________________________________ |
Name : ____________________________________________ |
Home Phone: ( ) ________________________________ |
Address: ___________________________________________ |
School: School Phone: ( ) __________________________ |
City, State, Zip: _______________________________________ |
Expected Graduation Date: ____________________________ |
Matriculation Date: _____________________________________ |
E-mail Address: _____________________________________ |
Fall Semester Schedule: |
Spring Semester Schedule: |
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Please attach to this waiver form to a one page letter stating your goals and reasons why you feel you would need the tuition waiver funds. These applications and letters will be reviewed by the Master's Advisory Committee. Please return this application to the address listed above by the appropriate due date.I verify that the information provided is correct to the best of my knowledge. I authorize the release of my transcripts to any individual or institution that has or will donate money for my education.
Signature: ______________________________________________________________________________________________
This application will be evaluated without regard to race, color, religion, sex, marital status, national origin or handicap.