Nevada Promise Scholarship
Page 1 of 1; Phase-In Retirement Pre-Application Notice Created: 2/11/2020; Rev: 2/18/2020
TMCC is an EEO/AA institution. See for more information.
I, the undersigned, do hereby declare that I am prohibited by law from completing the Free Application for Federal Student
Aid (FAFSA) available under Title IV of the Higher Education Act of 1965.
I understand that if I sign and submit this Declaration while I am permitted by law to complete the FAFSA, it may require
me to repay some or all of my Nevada Promise Scholarship award, if any, to the Nevada Promise Scholarship fund, and/or
loss of eligibility for the Nevada Promise Scholarship.
I declare under penalty of perjury under the laws of the State of Nevada that the foregoing is true and correct.
Name of High School
Year of High School Graduation
NSHE ID Number
Student Name
Student Signature
Parent’s Signature required only if student is under the age of 18.
Parent’s Name
Parent Signature
Please submit this form to:
TMCC’S Nevada Promise Scholarship
Truckee Meadows Community College
7000 Dandini Boulevard, RDMT 315
Reno, Nevada 89512-3999
Or Fax to 775-674-7939
If you have any questions, please contact