DATE
NAME
TVIN/STUDENT ID
MAILING ADDRESS
I have completed and submitted the current FAFSA? Yes No
I am receiving, or will be receiving the following financial aid assistance. (check each box that applies)
Pell Grant VA Benefits TEC/TRA CCMS SEOG TPEG Texas Rehab
Other assistance
I have previously received Student Support Assistance.
I have been negatively affected by COVID-19 (i.e. loss of job).
I can complete this certificate/degree within 12 months.
Spring 2021
TX Reskilling Support Fund Student
Tuition & Fees Application
Attach a copy of your degree plan and current schedule to complete application.
submit completed application to workforceed@tvcc.edu
GENDER
Female
Male
TELEPHONE
MAJOR/DEGREE
No
No
Yes
Yes
Details of my circumstance are:
I have not been enrolled in a college in the past
6 months or previous long semester.
No
I am a Texas resident, eligible for in-state tuition.
I am an English Learner.
I receive and/or need housing assistance.
I am a single parent or a single pregnant woman.
I am part of, or have been part of, the State of Texas Foster Care System.
My parent is a member of the armed forces and is on active duty.
No
No
No
No
Yes
Yes
Yes
Yes
No
No
Yes
Yes
No
Yes
Yes
Student Signature
Date
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signature
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