Tuition Waiver

Application forModern LanguagesDepartment

University of Central Oklahoma

Applications must be RECEIVED BY April 13, 2012to be considered.

***Tuition Waiver Eligibility Requirements: Must be an OKLAHOMA RESIDENTand a declared LanguageMajor or Language Ed. Major in good academic standing with demonstrated financial need. (Language Minors may be given secondary consideration).

(Refer to UCO’s Scholarship Guide for a complete listing of available scholarships as well as academic/talent based scholarships which require a separate application. )

1. The following MUSTbe attached to your completed application to be considered for UCO scholarships:

A UCO transcript (if you are a currently enrolled UCO student)OR

A High School transcript (if you are currently a High School Senior)OR

All transcripts from previous colleges attended (if transferring to UCO)

(Scholarship application and transcript(s) must be submitted separately from the application and transcript submitted to the UCO Admissions Office)

2. Mail or hand deliver completed applicationwith transcript by April 13, 2012, to: The Department of Modern Languages, Literature and Cultural Studies, Thatcher Hall Room 204.

PLEASE PRINT OR TYPE

Name:______SS#NumberorUCO Banner ID# ______

Please Check One: ____Current UCO Student ____Current High School Senior ____Incoming Transfer Student

Are you an Oklahoma resident? ____Yes ____No Will you pay in-state tuition? ____Yes ____No

What is your college (Please circle): Liberal Arts Education Math & Sciences Business Graduate

What is your declared major at UCO?______

Please list any declared minors:______

Mailing Address:______

City, State, Zip:______

Home Phone: ( ) ______Work/Cell Phone: ( )______

Email: ______Home County:______Are you currently receiving a UCO Academic Scholarship? ____Yes ____No (Please list):______

Do you feel you would be able to attend UCO without this tuition waiver? ____Yes ____No

____Prefer not to answer- please make a decision based solely on academic merit.

Total Cumulative GPA:______Number of college hours completed: ______

Number of hours enrolled in current semester: ______Expected graduation date: ______

Number of hours in which you expect to enroll for 2012/2013: Fall ______Spring______Summer______

This area to be completed by PROSPECTIVE TRANSFER STUDENTS only:

Semester transferring to UCO:______Phi Theta Kappa Member:____Yes ____No

Name of college presently attending:______

Campus Activities and Offices Held:

______

______

Awards & Honors:______

The following information is voluntary and requested only in accordance with the 1968 Civil Rights Amendment Act.

____1. White, non-Hispanic ___2. African-American____3. HispanicSex:____1. Male

____4. Asian or Pacific Islander ____5. Non-resident Alien____6. Native American/Alaskan ____2. Female

For information purposes, is your parent(s) or grandparent(s) a UCO/Central State graduate? _____Yes _____No

______

Applicant’s Signature Today’s Date

For Office Use Only

Meets Eligibility Requirements: ____Yes ____No

Awarded a tuition waiver for the 2012/13 school year in the amount of ______each semester