This form is to be completed the semester in which the student plans to graduate or within 60 days of the date of graduation.


Anticipated Graduation Date: ________________

TUITION REBATES FOR CERTAIN UNDERGRADUATES


Section 54.0065 of the Education Code of Texas authorizes a tuition rebate for certain students who have received a baccalaureate degree from a Texas public university.

Name ______________________________ Social Security / SamID __________________

Please read the eligibility requirements on the Rules page to see if you qualify for this rebate, then complete the information below.

Did you enroll for the first time as a beginning freshman in a Texas public institution of higher education
in the Fall, 1997, or later?                           Yes_________ No_________

If no, you do not qualify for the rebate.

Have you been a resident of Texas and entitled to pay resident tuition at all times while pursuing the
degree?                                                     Yes_________ No_________

If no, you do not qualify for the rebate.

If yes to both questions above, submit this completed form to the Registrar's Office, Sam Houston State University, Estill Building, Room 304. The Registrar's Office will review your transcript to determine if you qualify for the rebate based on the total semester hours. The paperwork will then be forwarded to the Administrative Accounting Office, Student Accounts Section for residency verification. If you qualify, based on residency, the rebate check will be mailed to you. Please indicate below the address where you wish the rebate to be mailed. If you do not qualify, the Registrar's office will notify you.

________________________________________________________________________
________________________________________________________________________
________________________________________________________________________

__________________________
Student Signature / Date

*************************************************************************

To be completed by the Registrar's Office, Sam Houston State University
To Administrative Accounting, Student Accounts Section:

__________ The above-named student qualifies for the tuition rebate. Please verify residency and mail rebate check to student.**
__________ The above named student does not qualify for the tuition rebate because:

________________________________________________________________________
________________________________________________________________________

____________________________                                                 _____________________
Teresa Ringo, University Registrar                                                      Date

**If the student has outstanding student loans either with SHSU or another school, the rebate will be applied first to those loans and any remainder will be paid to the student.

Date Received in Registrar Office____________ Preliminary Check in the Office of the Registrar
Student Notified______________Not Qualified

SECTION 54.0065 OF THE TEXAS EDUCATION CODE

Eligible Students:

To be eligible for rebates under this program, students must meet ALL of the following conditions:

  1. they must have enrolled for the first time in an institution of higher education in the fall 1997 semester or later, and
  2. they must have received a baccalaureate degree from a Texas public university, and
  3. they must have been a resident of Texas, must have attempted all coursework at a Texas public institution of higher education, and entitled to pay resident tuition at all times while pursuing the degree, and
  4. they must have attempted no more than three hours in excess of the minimum number of semester credit hours required to complete the degree under the catalog under which they graduated. Hours attempted include transfer credits, course credit earned exclusively by examination, courses that are dropped after the official census date, for-credit developmental courses, optional internship and cooperative education courses, and repeated courses. Courses dropped for reasons that are determined by the institution to be totally beyond the control of the student shall not be counted, and
  5. the first nine hours of credit earned by examination (credit earned on the basis of AP courses, CLEP or credit granted for high SAT or ACT scores) does not count as hours attempted.

Responsibilities of Students:

Students desiring to qualify for tuition rebates are solely responsible for enrolling only in courses that will qualify them for the rebate.

A student who has transferred from another institution of higher education is responsible for providing to the institution awarding the degree official transcripts from all institutions attended by the student.

Students are required to apply for the rebate on forms provided by the institution prior to receiving their baccalaureate degrees and to keep the institution apprised of their addresses for at least 30 days after their graduation date.