Note: This application is for Hazlewood Recipients who previously qualified and used the benefits at MIDLAND COLLEGE and have a complete a Hazlewood Packet; New applicants should consult the Hazlewood Checklist for requirements.
My name is
and I am applying for an exemption from payment of tuition and certain fees under the Texas Education Code, Section 54.203 (Hazlewood Act). I understand that I may be entitled, under the law, to this exemption for up to 150 credit hours total at Texas public institution of higher education. For the purpose of accounting for the total number of hours for which I receive this exemption, I grant permission to any institution in which I have enrolled or will enroll to release current semester and historical credit hour information to the Texas Higher Education Coordinating Board and am granting permission for the Board to share such data with any institution that I might attends. I hereby certify the information I have provided is true and correct. I understand that if I fail to provide accurate information, I may be required to reimburse the institution and penalties may be imposed. (**Hours can ONLY be used by one Veteran//Child/Spouse at a time**)
I understand the statement above. Date:
NOTICE: I understand I must resubmit this application each semester to receive the Hazlewood Exemption.
Midland College is accredited by the Commission on Colleges of the Southern Association of Colleges and Schools to award certificates and associate and baccalaureate degrees.