Fillable Application Instructions for TN STRONG Act (State of Tennessee)

Fill Online, Printable, Fillable, Blank Application Instructions for TN STRONG Act (State of Tennessee) Form

Use Fill to complete blank online STATE OF TENNESSEE (TN) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Application Instructions for TN STRONG Act (State of Tennessee)

On average this form takes 42 minutes to complete

The Application Instructions for TN STRONG Act (State of Tennessee) form is 7 pages long and contains:

  • 5 signatures
  • 12 check-boxes
  • 142 other fields

Country of origin: US
File type: PDF

U.S.A. forms for State of Tennessee

BROWSE STATE OF TENNESSEE (TN) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Application Instructions for
TN STRONG Act
***Check with your post-secondary institutions for any deferment deadlines!***
***Incomplete/illegible applications will be returned without action!***
Print or save the entire packet. Follow detailed instructions regarding each item as follows:
1. TNG STRONG Act tuition reimbursement Application Form:
Section I - Members Information: Complete in full, blocks 1-16 as required.
Block 15: Used to validate member’s eligiblity for Federal Tuition Assistance (FTA) and
is a serving member during the school semester.
Section II- Members Waiver & Certification - Read statement, sign and date as required.
Section III- Unit/Squadron Commander: Submit your application packet to your
Commander for review. Commander will recommend or non- recommend, sign and date.
If non-recommended, Commander is required to provide a letter outlining reasons.
Include letter in application packet.
Section IV- Enrollment Certification: Take to certifying official at postsecondary
institution to complete and verify classes and costs!.
Section V- State TA Mannager (STA) Review: Completed by State Tuition Assistance
Manager once completed application is submitted to respective branch STA.
2. TNG STRONG Act tuition reimbursement State of Understanding (SOU):
Applicants must read and initial each paragraph, sign and date as required.
This is legal acknowledgement for record and is considered supporting documentation.
3. TNG STRONG Act Tuition Reimbursement Authorization for Release Form:
Print member name and last 4 of SSN. Read statements, initial each paragraph, complete
postsecondary institution information, sign and date as required. *The postsecondary
institution version of FERPA will be accepted.*
Once application packet is complete, upload all 5 pages as one PDF file and email to either
Air or Army mailboxes relavant to your branch of service.
Air email: ng.tn.tnarng.mbx.ngtn-state-tuition-assistance-air@mail.mil
Army email: ng.tn.tnarng.mbx.ngtn-state-tuition-assistance-army@mail.mil
Questions? Use the contact sheet to contact our State Tuition Assistance Managers.
TN STRONG Act Contact Information
Website for current TN STRONG Act
Information:
http://tn.gov/military/section/education-incentives
Air Guard State Tutition Assistance Manager
MSgt Joseph Wilson – Commercial: (615) 313-0849; DSN 683-0849
Air Email: ng.tn.tnarng.mbx.ngtn-state-tuition-assistance-air@mail.mil
Army Guard State Tuition Assistance Manager
SFC Stephen Biase – Commercial: (615) 313-0737; DSN 683-0737
Army Email: ng.tn.tnarng.mbx.ngtn-state-tuition-assistance-army@mail.mil
Page 1 of 5
Revised: 01
Aug 2020
Tennessee National Guard Application for the STRONG Act Tuition
Reimbursement Program
“This document contains information exempt from mandatory disclosure under the FOIA. Exemption 5 U.S.C.
553(b) (6) applies. This document also contains personal information that is protected by the Privacy Act of 1974
and must be safeguarded from unauthorized disclosure”
SECTION I – MEMBER’S INFORMATION
1. Member’s Name (Last, First, MI):
2.Gender(M/F)
3. Date of Birth
(YYYYMMDD)
4.Rank/ Grade
5. SSN:
7. City
8. State:
9. Zip Code:
11. Valid Email Address (Work, Civilian, Military)
13a. Branch Of Service: ☐ Air Guard ☐ Army Guard
13b. Duty Status: ☐ Traditional ☐ Active Guard Reserve(AGR)
☐ HS Gra
duate/GED ☐ Associate’s Degree
☐
☐
15. Enlistment Date:
(YYYYMMDD)
16. ETS Date:
(YYYYMMDD)
SECTION II – MEMBERS WAIVER & CERTIFICATION
By signing this form, I agree to have my transcript, itemized bill and withdrawal information released to the TNG
JFHQ A-1/JFHQ G-1. I understand that my acceptence for the STRONG Act tuition reimbursement program is
based upon availability of funding. I have carefully read the attached SOU and all questions have been explained
to my satisfaction.
Member’s Signature:
Date Signed (YYYYMMDD):
SECTION III – UNIT/SQUADRON COMMANDER
I certify that the Member is a satisfactory participant in good standing with less that 9 unexcused absences form
UTAs within any 12 month period with my respective unit as prescribed in AR 135-91, AR 350-1, or AFI 36-
3209 . Further I certify that he/she meets the eligible criteria outlined in Rule 0930-02-01 of the policy for the
STRONG Act Program.
☐
Recommend
☐
Non-Recommend
Commander’s Printed Name: Commanders’s Signature:
Date Signed (YYYYMMDD)
click to sign
signature
click to edit
click to sign
signature
click to edit
Page 2 of 5
Revised: 01
Aug 2020
SECTION IV- Enrollment Certification
****Filled by Certification Official at Postsecondary Institution****
“This document contains information exempt from mandatory disclosure under the FOIA. Exemption 5 U.S.C. 553(b) (6)
applies. This document also contains personal information that is protected by the Privacy Act of 1974 and must be
safeguarded from unauthorized disclosure”
_________________________________________________________________________________________________________________
Request the postsecondary institution provide the following information in order to certify member’s enrollment
to complete the application packet for TN STRONG Act tuition reimbursement as outlined in the State of
Tennessee Public Chapter No. 229 And
Rule 0930-02-01.
Name of Student (Last, First, Middle Initial):
SSN: (Last 4)
Degree Major:
ENROLLMENT DATA
Class Start/End Dates
(YYYYMMDD)
Course Number
Course Title
Credit/Clock
Hour Cost
Total
Hours
Total Course
Charges
START
END
Total Credit Hours Earned Towards Degree:
Number of Hours Enrolled:
Total Tuition Charges:
CERTIFICATIONS – The provisions described on this sheet are certified to be correct as of date signed below.
Name and Address of Financial Aid/Bursar’s Office:
Phone Number:
Email:
Printed Name and Signature of Certifying Official:
Date Signed:
(YYYYMMDD)
SECTION V- STA MANAGER REVIEW
I certify that the Member’s application packet contains all required documents and I have properly reviewed this
application packet.
☐
Accepted
☐
Rejected
STA M
anager Signature: Date:
Tuition Amount
Accepted:
click to sign
signature
click to edit
Page 3 of 5
Revised: 01
Aug 2020
Tennessee National Guard
STRONG Act Tuition Reimbursement
Statement of Understanding
Applicants must initial each paragraph indicating the acceptance of this Agreement.
This is a legal acknowledgement for record & is considered supporting documentation.
I understand to be eligible for STRONG Act tuition reimbursement, I must be a member of the Tennessee National
Guard and have not missed a ship date * to begin basic military training prior to current course start date. _____
(Applicant’s Initials)
I understand that it is my sole responsibility to submit all required documentation listed in next paragraph, as
part of a complete application packet within 90 days of course completion. Failure to do so will result in my
application being returned without action. _____ (Applicant’s Initials)
I understand that a complete TN STRONG Act application consists of the initial 5 page application, final
grades for term reimbursement is requested, and the latest student account summary or itemized bill for term
reimbursement is requested. _____ (Applicant’s Initials)
I understand that I must serve in the Tennessee National Guard for a portion of the academic term that
STRONG Act tuition reimbursement is requested. _____ (Applicant’s Initials)
I understand that if I am eligible for Federal Tuition Assistance (FTA), I must use FTA in conjunction with
STRONG Act tuition reimbursement. _____ (Applicant’s Initials)
I understand that it is my sole responsibility to determine my FTA eligibility by contacting the TNNG
Education and Incentives Office or by contacting GoArmyEd. _____ (Applicant’s Initials)
I understand that if I am a non-scholarship Army ROTC Cadet, I may be eligible for and therefore required
to use FTA in conjunction with TN STRONG. I understand it is my responsibility to determine my FTA
eligibility by contacting the TNNG Education and Incentives Office or GoArmyEd. _____ (Applicant’s
Initials)
I understand that if I am eligible for, but fail to apply for and exhaust FTA as required by state law, I will
receive a reduced amount of STRONG Act tuition reimbursement. _____ (Applicant’s Initials)
I have not previously received a Bachelor’s Degree from an accredited postsecondary institution. _____
(Applicant’s Initials)
(*ship date for purposes of this program refers to the date a TNG Member departs to begin basic military
training.)
Page 4 of 5
Revised: 01
Aug 2020
Tennessee National Guard
STRONG Act Tuition Reimbursement Statement of
Understanding
I understand that I am eligible for and cannot exceed 120 credit hours, or 8 full-time
semesters or equivalent of reimbursement inclusive of any transfer or awarded semester hours I have been
given credit for prior to TN STRONG Act usage. _____ (Applicant’s Initials)
I understand that I must successfully complete all courses and maintain a GPA of 2.0 for the academic
period that STRONG Act tuition reimbursement is being sought. _____ (Applicant’s Initials)
I understand if STRONG Act tuition reimbursement is approved, it shall not exceed the actual
tuition charged by my chosen postsecondary institution approved to receive state or federal funds.
_____ (Applicant’s Initials)
I understand that TN STRONG Act tuition reimbursement must be paid to an educational institution, not to
the individual. _____ (Applicant’s Initials)
I understand after submission of my application packet, I must report any changes immediately to the State
Tuition Assistance Manager to include withdrawals or adding additional courses. Course cost will not be
covered for courses dropped/withdrawn after the schools official withdrawal date. _____ (Applicant’s Initials)
I understand that I MUST provide a copy of my unofficial transcripts and detailed itemized bill (also called a
student account summary) for the academic period in which I have submitted an application packet for STRONG
Act tuition reimbursement. This constitute a complete application packet. _____ (Applicant’s Initials)
I understand I must notify the State Tuition Assistance Managers if this funding results in a degree (Associate or
Bachelor). _____ (Applicant’s Initials)
I understand that my questions regarding the program, application process, or payment information
should be directed to the State Tuition Assistance Manager. _____ (Applicant’s Initials)
I have read and understand that if I do not comply with all of the above, I will not be approved
for STRONG Act tuition reimbursement. _____ (Applicant’s Initials)
I understand that the STRONG Act tuition reimbursement program is subject to the availability of
funds and appropriations as set by the Tennessee State Legislature and any limitations set forth in
Public Chapter No. 229. _____ (Applicant’s Initials)
Applicant’s Signature Date
(**Instructions for ‘GoArmyEd’ accounts are on tn.gov/military/programs & benefits)
click to sign
signature
click to edit
Page 5 of 5
Revised: 01
Aug 2020
Tennessee National Guard
STRONG Act Tuition Reimbursement
Authorization to Release
Student Name: _________________________ SSN: XXX-XX-________
This form allows students to authorize the release of confidential academic, financial aid, discipline, and student
account information otherwise protected by the Family Educational Rights and Privacy Act (FERPA) to
designated person(s). These designated person(s) will have access to the student’s grades and progress reports,
certain disciplinary records, and other information related to academic progress, financial aid, and student
financial accounts.
In an attempt to handle requests for grades, account balances and/or financial aid information, etc. we
are requesting that the student complete this form at the time of registration. This release will allow the
chosen postsecondary institution listed below to discuss this information with the Tennessee National
Guard without a delay.
If for any reason, I decide to change any information on this form, I must notify my chosen
postsecondary institution immediately.
Authorization: Initial the following boxes and complete requested information below:
_____ Under the Family Educational Rights and Privacy Act (FERPA), the postsecondary institution listed
below is permitted to disclose information from your education records to the Tennessee National Guard with
your consent. By signing this form you agree to allow your institution to release information from your
academic records. I consent to the disclosure of any personally identifiable information from my education
records to the Tennessee National Guard, as my institution finds appropriate.
_____ I hereby authorize the release of my grades, upon availability, to the Tennessee National Guard
_____ I hereby authorize the release of information related to my student account and any financial aid
received, including oral and/or written communication with the postsecondary institution listed below, as
requested.
Postsecondary Institution Name: _______________________________________
Postsecondary Institution POC: _________________________________________
Student’s Address__________________________________________________________
Student’s Signature: _____________________________________ Date: ______________
click to sign
signature
click to edit
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Application Instructions for TN STRONG Act (State of Tennessee)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 April 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document