APPLICATION FOR GRADUATE TUITION WAIVER
Please complete Statement of Compliance Form on next page and any supplemental pages from the department.
Grad Sch/1/20/17
ILLINOIS STATE
UNIVERSITY
Graduate tuition waivers are awarded on a competitive basis by departments/schools offering graduate programs to
students who show promise for success and who have not received a fellowship or other award funding tuition costs.
Tuition waivers cover tuition only. The student is responsible for paying the required fees. Submit this form to your
department.
Minimum Graduate School Criteria; See your department website for additional requirements:
1. Students with an established GPA, must maintain a minimum 3.0 GPA. Students without a graduate GPA,
must have a minimum of 2.8 for the last 60 hrs. of undergraduate GPA.
2. Student must be fully admitted into a degree program. Students on probation and visiting students are
ineligible for tuition waivers unless they are teaching a course for a department.
3. Tuition waivers may only be used to cover coursework that will be placed on the degree audit and count
towards the student's degree.
4. No more than 3 thesis/dissertation hours beyond those required for the degree.
5. Students must be in academic good standing.
6. Submitted on time (Deadlines): August 20 (fall) January 20 (spring) May 20 (summer)
I certify that the information on this application is correct. I authorize release for university use of this and other information to verify
my eligibility for a graduate tuition waiver.
X
Student signature Date
Number of credit hours for which you expect to register Hours for which you are requesting a tuition waiver
Reason for requesting a tuition waiver? Academic/performance merit Financial need Other (specify)
Is your tuition being paid by any other source?
Illinois non-resident
Illinois resident
(For residency guidelines see http://policy.illinoisstate.edu/students/2-1-17.shtml)
Degree program
Admitted to graduate school Note: Seniors admitted to a graduate program taking graduate courses are not eligible.
Applying for admission Fall (August) Spring (January) Summer 20
Have not applied for admission
Master's
MFA Specialist Doctoral
Degree in which you will be enrolled
Name
UID#
Local address
City
State
Zip
Email address
STUDENT INFORMATION
TUITION WAIVER INFORMATION
Other
CURRENT STATUS AT ILLINOIS STATE UNIVERSITY
Admission status
no
yes If yes, please explain
Current Grad. GPA / Last 60 hr. GPA
Graduate hours completed at ISU
Term applying for a waiver?
ILLINOIS STATE UNIVERSITY
STATEMENT OF REGISTRATION COMPLIANCE 2017-2018
FOR STATE OF ILLINOIS SCHOLARSHIP / GRANT RECIPIENTS
Academic Period Covered by Awards: July 1, 2017 to June 30, 2018
Please complete this form and return it to your department/school with the tuition waiver application.
Failure to do so will keep your military awards(s) and/or other state scholarship(s) from being credited to
your student account. If funds have already been credited to your account, they will be debited and your
next bill will show a balance owed.
UID Number:
Name:
Selective service registration. You will not receive federal, state or other financial aid offered you unless
you complete this form and, if required, furnish proof to Illinois State University supporting your answer.
Mark ONE response. Do not leave this section blank.
I certify that I am registered with the Selective Service; OR
I .
I certify that I am not required to be registered with the Selective Service because:
2.
I am female.
I have not reached my 18th birthday.
I was born before 1960.
I am in the armed services of the United States, on active duty. NOTE: Members of
the Reserves or National Guard are not considered to be ''on active duty.''
I am a permanent resident of the Federated States of Micronesia, the Marshall
Islands, or Palau.
I am not a citizen of the United States of America.
I am age 26 or over and gained United States citizenship on or after age 26.
WARNING: If you purposely give false or misleading information on this form, you may be fined,
sentenced to jail, or both.
Signing this statement certifies that all information reported is true, complete and accurate.
Student's signature (in black ink)
Today's date
08/21/08
e.
d.
c.
b.
a.
g.
f.
- -
FOR GRADUATE DEPARTMENT USE ONLY
Admitted to degree program: Y N *Note: Seniors admitted to a graduate program taking graduate courses are not eligible.
GMAT / GRE score (If applicable)
Student is recommended for award Y N
X
Date
If denied, state reason:
Signature of Department Chair/School Director
Notification sent to student Y N Date sent
Type of admission: Full Conditional
TOEFL / IELTS score
Reminder: All documents are to be kept on record for 5 years after the student ceases to be enrolled at Illinois State University.
Departments/Schools must also keep all documents for all rejected waiver applicants and document why the student was not selected. All
documents related to the tuition waiver programs must be readily available in an audit. Documents can be kept electronically in the
department/school.
(This section must be completed and kept on file in the department/school along with the completed application.)
Each department/school is required to have their own criteria for awarding that is updated each year. Please be sure that either the
department/school's website or a coversheet outlining the criteria is available to applicants.
X
Date
This section must be completed by the Graduate Coordinator.
Student is recommended for the award:
Y N
Signature of Graduate Coordinator
This section must be completed by the Department Chair/School Director.
Student meets university and department/school criteria for award Y N
If denied, state reason:
Financial Aid Item Type: 9005100048_ _
