Hazlewood for Veteran, Child, or Spouse
Statement of Understanding
Name (last, first. middle) ______________________________________________________________
Address: __________________________________________________________________________
City: ___________________________________________ State: ______ Zip Code: ______________
Home Phone: ______________________________Cell Phone: ______________________________
Email: ________________________________________ Cisco College ID: _____________________
I understand that I am responsible for the following:
I must complete the required Hazlewood Exemption Application (e.g., TVC-ED-1 or TVC-ED-2) and
provide any required supporting documentation by the census date (official count date on the academic
calendar), but no later than the last class day of each semester that I wish to receive the exemption.
If I am eligible for both Post 9/11 education benefits and the Hazlewood exemption during the same
semester
o I must request and use the Post-9/11 GI Bill first
o I must submit the award letter I receive from the VA
o The exemption will be processed only after both
All Post 9/11 tuition funds are posted to my tuition bill
The census date (official count date on the academic calendar)
I must ensure that the exemption is posted to my tuition bill before the last class day of that semester
published in the academic calendar and resolve any issues within that semester.
I must complete the required Hazlewood Exemption Application each semester (e.g., TVC-ED-1 or TVC-
ED-2) and provide any required supporting documentation by the census date (official count date on the
academic calendar), but no later than the last class day of each semester that I wish to receive the
exemption. If I fail to do so, I will be reliable for payment of that term.
I understand that the Hazlewood Exemption does not cover the following:
o The general property deposit
o Late registration, student services, or optional fees
o Courses or portions of programs that do not receive state funding
I am eligible for a maximum exemption of 150 credit hours (or the number of hours transferred to me
under the Legacy Act) from all Texas public institutions.
I acknowledge receipt of this information. I understand that it is my responsibility to read this information and be aware of the
implications of my enrollment at Cisco College and receipt of the Hazlewood Tuition Exemption. I understand that if I do not
apply for exemption and provide needed documents prior to the last class day in a semester, that I am not eligible to receive
exemption. Must have parent signature if you are a dual credit student.
______________________________ ____________________________
Student Signature Date
______________________________ ____________________________
Parent Signature Date
Notice Concerning Your Information: The Texas Public Information Act, with a few exceptions, gives you the right to be informed about the
information that Cisco College collects about you. It also gives you the right to request a copy of that information and to have the College
correct any of that information that is wrong. You may request to receive and review any of that information or request corrections to it, by
contacting Office of Financial Aid, 717 E Industrial Blvd, Abilene, Texas 79602 or Office of Financial Aid, 101College Heights, Cisco, Texas
76437.
