Application for Graduate Merit Tuition Award

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First Name
Middle Initial
Last Name
Student ID Number (seven digits of your NEIU ID; see picture on the left)
Gender
Ethnicity
Status (Select all that apply)	Continuing Student New Student Out-of-state/International Student
Are you a resident of the state of Illinois?
Street Address
City
State
Zip Code
Home Phone Number
Work Phone Number
E-mail Address
Program Enrolled in/Admitted to
Cumulative GPA (must have at least a 3.5 GPA)
Hours Completed in the Program
Number of Previous Tuition Waivers Received
Semester applying for and numbers of credits PLEASE NOTE: You may only apply once, duplicate applications are not accepted.	Summer 2010
Are you eligible for Tuition Reimbursement from your employer?