Non-immigrant Out-of-State Tuition Waiver for Undergraduate

Non-immigrant Out-of-State Tuition Waiver for Undergraduate Students

GEORGIA INSTITUTE OF TECHNOLOGY

Office of International Education

International students in F-1 or J-1 status at Georgia Tech are invited to apply for the non-resident tuition

waiver, which is available each semester.

Eligibility Requirements

1. Enrollment as a full-time undergraduate student in the semester (Fall/Spring) for which the application

is made. Summer enrollment can be less than full-time.

2. Applicant must have been enrolled full-time in their current F-1/J-1 status for two consecutive

semesters at Georgia Tech.

3. Extreme financial need based on emergency or unforeseen circumstances.

4. Minimum 3.0 cumulative Georgia Tech GPA.

5. Active involvement in student organizations, community service, or volunteer activities while at

Georgia Tech.

Application Instructions

Please submit all of the following materials together to OIE by the deadline:

o

Completed application form.

Answer all parts, and sign last page

.

o

Evidence (supporting documents) of change in financial circumstances, IN ENGLISH.

o

Proof of residence for the semester you are applying for, indicating amount of rent paid and

all roommates listed (

e.g. Copy of lease agreement, official letter from housing, copy of housing contract, or

letter from person providing housing to you.)

o

Copies of your 3 most current US bank account statements, showing details of withdrawals

and deposits

For Spring: Statements from August—October

For Summer: Statements from December—February

For Fall: Statements from March—May

o

Copy of front and back of most recent I-94 form.

o

Copy of most recent I-20 (F-1 Student) or DS-2019 (J-1 Student).

o

Official copy of your GT transcript ordered from the Registrar’s office.

Unofficial transcript is not acceptable. The transcript must be attached and should not be sent to OIE separately.

Deadlines

Spring semester : 4.30pm, third Friday of October

Summer semester : 4.30pm, last Friday of March

Fall semester : 4.30pm, first Friday of July

Other Notes

 Late or incomplete applications will NOT be considered.

 OIE is not responsible for making copies of documents.

 If you have submitted an application for previous semesters, subsequent applications must

include all documentation. Past applications will not be reviewed.

 Decisions will be made within three weeks and will be sent by email.

APPLICATION FOR TUITION WAIVER

Spring 200_ __ Summer 200__ _ Fall 200_ __

I. Personal Information

Name: ___________

(family name – in capital letters) (given name)

Birth date: / /

mm / dd / yy

Phone #: ( ) Email: _________________________

GT Student ID#: 90 _ - _ _ - _ _ _ _ SEVIS #: N000_ _ _ _ _ _ _

Local mailing address: ___________________________

_____________________________ ______

______________________________ _____

Current Academic Standing: freshman; sophomore; junior; senior

Current major:

First semester at Ga. Tech: Sem _______ Yr________

Expected date of graduation: Sem ______ Yr _____

Grade point average information:

a) current overall grade point average: ____________

b) most recent semester point average: ____________

Dates of travel outside the U.S. (List all travel since coming to the U.S. for study):

Depart date Return date Destination

II. Information related to your financial status

Source of funding (check all that apply)

Self

Parents

Spouse

Scholarship

Employment

List all financial aid you have applied for and/or received (include previous tuition waivers):

Semester received Source

_______

Have you ever been or are you currently employed in the U.S.? Yes  No

If yes, give the name of your employer: ___________________________________

Dates employed: ________________________Salary: ______________________

Additional Employer(s): _______________________________________________

Dates employed: ________________________Salary: ______________________

How much money do you receive from your family, sponsor and/or employer

each year? _________________

Is your spouse employed in the U.S.? Yes  No

If yes, spouse’s employer: ________________________________________

Spouse’s monthly salary _________ Is your spouse a student? Yes  No

Do you own a car? Yes  No

Year & model of your car ________________________________________

If you are not financially self-sponsored, give the following information:

Name of Primary Financial Sponsor(s):

(i.e., parents(s) or relative’s name, foreign university or

government agency, etc.)

Address: Address:

Occupation/Title: Occupation/Title:

Employer: Employer:

Annual Salary in U.S. $ _____________ Annual Salary in U.S. $ _____________

III. Personal Budget

Estimated income and financial support (in U.S. dollars) for NEXT semester.

Personal and/or family support $ ____________

Government Sponsor or Loan Agency ____________

Income from Employment ____________

Other: (specify) _____________________ ____________

TOTAL Financial Support $ ____________

Estimated Expenses for next semester

Tuition & Fees $ ____________

Housing ____________

Food ____________

Books & Supplies ____________

Insurance ____________

Child Care (if any) ____________

Car expenses (if any)s ____________

Other ____________

TOTAL Expenses $ ____________

IV. Statement of Financial Need

Explain in detail your need for financial assistance. Include any recent change in your financial situation and

explain why you cannot obtain the total amount of funding necessary. You can complete this page or submit

one separate page that addresses all 3 sections. DO NOT FORGET TO ATTACH EVIDENCE (supporting

documents) THAT PROVES YOUR CHANGE IN FINANCIAL CIRCUMSTANCES.

FINANCIAL NEED (attach separate sheet if necessary)

EMPLOYMENT

(any work for which you are compensated (i.e., Housing/Community advisor

).

(attach

separate sheet if necessary)

VOLUNTEER/COMMUNITY SERVICE

(explain specific participation) (attach separate sheet if

necessary)

I certify that all the information given in this application is true and accurate to the best of my knowledge. I will

inform the Office of International Education if there are any changes in the financial information that I have

provided. I understand that making false statements within this certification of financial need may result in

disciplinary action and loss of financial aid.

_____________________________________ _________________

Signature

Date