SCHOOLOFELECTRICALANDCOMPUTERENGINEERING

TUITIONWAIVERREQUEST
(REQUIREDFOREACHTERMOFCONSIDERATION)

DateSubmitted:____________________
Waiverfor

________________(Term)

_____________(Year)

StudentsFullName:_________________________________________________
IDNumber:

__________________________CampusPOBox: __________________

EmailAddress

CitizenshipStatus:

U.S.

CurrentGPA: ______________

PermanentResident

Other____________________
(Country)

DegreeProgram________________

EntryDate(termandyear):______________________
#HoursScheduledforthisWaiverTerm:_____________
DatePassedPHDPreliminaryExamination: ________________________
Describeanyspecialcircumstancesthatshouldbeconsideredwhenmakingnominationsfortuition
waivers:
______________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Iunderstandthatthiswaiver,ifawarded,entitlesmetopayfulltimeinstatetuitionandfees.I
furtherunderstandthattobeeligibleforthewaiver,Imustcarryafulltimecourseload(i.e.
minimum12lettergradeand/orpass/failhours).
____________________________
Studentsignature
(DONOTWRITEBELOWTHISLINE)
COMMENTS:

TuitionWvrReq(9/10/99)

RANKING:________________