It is the policy of Galveston College to provide equal opportunities without regard to age, race, color, religion, national origin, gender, disability, genetic information, or veteran status.
ELIGIBILITY REQUIREMENTS
• Service member must have been killed or died while in service
• Child/spouse must have moved to Texas within 60 days of service member’s death (parent is not required to move with child
for him/her to be eligible for waiver)
AWARD AMOUNT
• Waiver of nonresident tuition.
INSTRUCTIONS
• Complete and return this form to the Admissions Office.
• Must provide proof that service member was killed or died in service. Must provide proof of arrival in Texas no more
than 60 days after death of service member. All items must
accompany this form.
Student ID Number: __________________________ Date of Birth: ______________________________
Last Name: ______________________________ First Name: ___________________________ MI: _____
Address: _______________________________________________________________________________
Street/PO Box City State Zip
Phone: ____________________________ Email: _____________________________________________
I am seeking a waiver of non-resident tuition and applicable fees under Texas Education Code 54.241(f) –
Military Personnel and Dependents. I am eligible under the conditions in Texas Education Code 54.241(f) to
receive this award and certify all the information provided on this form is accurate and true.
___________________________________________ __________________________________
Student’s Signature Date
___________________________________________ __________________________________
Director of Admissions/Registrar Date
Waiver for Children/Spouse of Military Member
who was Killed or Died While in Service
Admissions Office Use Only
Date Entered: __________________
By: ___________________________
click to sign
signature
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click to sign
signature
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