Meritorious Tuition Waiver Form: WVU School of Nursing

Meritorious Student Tuition Waiver Application
Appendix H in the MSN Handbook

Personal Information:

Name (First, Middle, Last)
WVU ID Number	(700-

Street Address
PO Box Number
City
State
Zip Code
Phone Number
E-mail Address
Confirm E-mail Address

Academic Information:

Academic Advisor
Present Status	Regular Provisional
Current Grade Point Average

Number of graduate credits completed

Which semester you are applying for tuition waiver

List the name of the courses and number of credits for which you are requesting a tuition waiver.

Financial Information:

Place of Employment
Work Phone Number

Describe in detail your financial need for a tuition waiver. Include your current income, family expenses and school expenses.

Identify all sources of financial assistance you will receive for the academic year:

Amount of Employer Assistance
Scholarship Amount
Other Monetary Support
Please specify

You will receive a confirmation of receipt via email from Felicia Gaskill, Program Assistant II for Graduate Affairs within the WVU School of Nursing.