Name: _______________________________________________________________________________
Student Banner ID Number: __________________ Student Mobile Number:
Permanent Address: ____________________________________________________________________
Local Address: ________________________________________________________________________
AAMU Bulldog Email Address: __________________________________________________________
Name of Sponsoring Department: __________________________________________________
Type of Award: ___Graduate Assistantship ___Fellowship
Amount of Award: $_______________ per ___Month ___Semester ___Year
Term(s) of Award: ___Fall, Year_____ ___Spring, Year_____ ___Summer, Year_____
Student Signature: ____________________________________________Date: ___________________
Supervisor Signature: _________________________________________Date: ___________________
Budget Manager Signature: ____________________________________Date: ___________________
LASTFIRSTMIDDLEMAIDENNAME
Source of Graduate Assistantship (GA)/Fellowship Award
Graduate Assistantship (GA)/Fellowship Verification
For Graduate Assistants, in order to receive in-state tuition for tuition purposes ONLY, students must be employed by the University prior to the
end of registration for the term which the in-state rate is requested.
Purpose:
To provide for the awarding of in-state tuition rates for qualifying students pursuant to the § 16-64-2, Code of Alabama, as
authorized by the Board of Trustees of Alabama A&M University. To the extent federal law governs and is in conflict with
Alabama law, federal law shall apply.
If, at any point during the student’s term of employment, he or she ceases to work in the position outlined above, it is the
Supervisor’s responsibility to promptly notify the School of Graduate Studies of the change in status.
An award terminated during the term, which results in the loss of eligibility, will result in the assessment of the non-resident
fee to the students’ account. Any resulting balance must be paid in accordance with University Policy governing student
account balances.
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