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
• Individual must be employed at least half-time as a teaching/research assistant at a public institution of higher education in
Texas (child/spouse is eligible for benefits)
AWARD AMOUNT
• Waiver of nonresident tuition.
INSTRUCTIONS
• Complete and return this form to the Admissions Office.
• Must provide proof of at least half-time employment as teaching/research assistant at public
institution of higher
education in Texas. Proof 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 54.212 –
Teaching or Research Assistant. I am eligible under the conditions in Texas Education Code 54.212 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 Teaching/Research Assistants
Admissions Office Use Only
Date Entered: __________________
By: ___________________________
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
