Student Tuition Assistance Agreement for Senior Citizens
NEW RIVER COMMUNITY COLLEGE STUDENT TUITION ASSISTANCE AGREEMENT FOR SENIOR CITIZENS
Name: (Last) (First) (Middle Initial)
Student ID # ______Social Security # ______Date of Birth ______
Where have you lived for the past two years? List current address first: From (mo/yr) Street Address City State Zip
Telephone: Home: ______Business: ______
A. ______I hereby certify that I am qualified for free tuition for credit courses under the Senior Citizens Higher Education Act (see reverse side for guidelines). Documentation of income required.
B. ______I hereby certify that I am qualified for free tuition for audit of credit courses or for taking non-credit courses under the Senior Citizens Higher Education Act (see reverse side for guidelines).
Signature: ______Date: ------OFFICE USE
Semester ______Year ______
Course & No. Credits Credit/Audit Non-Credit Tuition $______
Fees $______
Total Due $ ______Amount Covered by Agreement $ ______
Admissions and Records Approval Division Office Approval Copies: Business Office Admissions Office or Division Office
GUIDELINES FOR ELIGIBILITY
"Senior Citizens Higher Education Act of 1974"
(Amended 1976, 1977, 1982, 1988, 1999, 2003 and 2015)
A. To be eligible for free tuition and fees for credit courses, part-time or full-time, a person must meet the following criteria:
1. Be 60 years of age or older.
2. Be legally domiciled in Virginia.
3. Had a taxable individual income not exceeding $23,850 for Virginia Income Tax purposes for the year preceding the year in which enrollment is sought. Documentation of income required.
4. Be admitted to a course after all tuition-paying students have been accommodated.
5. Be admitted to the College as a student.
B. To be eligible for free tuition for audit of credit courses or for taking non-credit courses, a person must meet the following criteria:
1. Be 60 years of age or older.
2. Be legally domiciled in Virginia.
3. Be admitted to a course after all tuition-paying students have been accommodated.
4. Be admitted to the College as a student.