Fill - Free fillable Tvc Ed 2-hazlewood Continued Enrollment Application (North Central Texas College) PDF form

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TexasHazlewoodActExemptionApplication

ForContinuedEnrollment*

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TVC‐ED‐2

Eff.June2016

Page1of1 

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TEXASVETERANSCOMMISSION

Phone:1‐877‐898‐3833or512/463‐3168|TTY/TDD:Dial711|Fax:512/475‐3932|E‐Mail:Education@tvc.texas.gov|Web:www.tvc.texas.gov

AnEqualOpportunityEmployer

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For(Term)     (Year) at(Institution)     

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*Submitthisapplicationtoyourcollegeoruniversity,nottotheTexasVeteransCommission*

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Student’sName:     

 LastName FirstName MI

Student’sSSN: DateofBirth://

(MM/DD/YYYY)

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Student’sSchoolID#: 

Address:       

 Street City State ZipCode

PhoneNumber:  Emailaddress: 

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Iamapplyingas(checkonlyone): 

[ ]aVeteran[ ]aLegacyChild[ ]aChild[ ]aSpouse

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To qualify for the Hazlewood Exemption, the Veteran, child or spouse cannot be in default on a loan that is

madeorguaranteedbythestateofTexas.Stateloanscanbeviewedathttp://www.hhloans.com/.

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DoestheVeteran,child,orspousehavealoanthroughtheTexasHigherEducationCoordinatingBoard?

 [ ]Yes [ ]No

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Ifyes,istheloanindefaultstatus?

 [ ]Yes [ ]No [ ]NotApplicable

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Iamapplying forcontinuationoftheexemptionfrompaymentoftui tionandfees underTexasEducationCode§54.341,

(The Hazlewood Act).I understand that I may be entitled, under the law, to this exemption for up to 150 semester

credit hours at Texas public i nstitutions of higher education.For the pu

rpose of accounting for the total number of

hoursforwhich I receive this exe mption,  I grant permission to anyinstitution inwhichIhaveenrolled orwillenrollto

releasecredithourinform ation tothe TexasVetera ns CommissionandtheTexasHigherEducationCoordinatingBoard,

andfurthergrant permissionto the Commission andBoardto sharesuch inf

ormationwithanyinstitutionthatImight

attend.I certify that I still meet the requirements in Part  D or, if a Legacy  Child, Parts D and E of my initial Texas

HazlewoodActExemptionApplication(FormTVC‐ED‐1).

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Ihavepreviously

usedhours

undertheTexasHazlewoodActExemp tion.

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Student’sSignature:  Date: 

*Submitthisapplicationtoyourcollegeoruniversity,nottotheTexasVeteransCommission*

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* This form will not be used for initial application for the Hazlewood Exemption, but may be used for enrollment of

studentssubsequenttoinitialenrollmentattheschoolinwhichthestudentiscurrentlyandconsistentlyenrolled.Ifa

break in enrollment or change of school occurs then the complete Hazlewood Exemption application must be

completed.

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Tvc Ed 2-hazlewood Continued Enrollment Application (North Central Texas College)

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