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Below is UND's Cultural Diversity Tuition Waiver Application Form for pre-freshman students. To ensure full consideration of your request, return the completed form to the address listed below by April 15, 2008.
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Students must have applied for admission to UND and have submitted a high school transcript or documentation of GED score to the UND Admissions Office by April 15, 2008 for priority consideration for this award.
| Student's Name | |
| Street Address | |
| Address (cont.) | |
| City | |
| State/Province | |
| Zip/Postal Code | |
| Home Phone | |
| Local Phone | |
| Soc. Security # | |
| E-Mail Address |
| Are you a U.S. Citizen? Yes No | You must be a U.S. Citizen to be considered. |
| Please check ONE: | ||||
| I have (or will have) a high school diploma. | High School Graduation Date: | |||
| Name and Address of High School: | ||||
| I have a GED. | Date Taken: | Test Site: | ||
| Are you applying as Economically Disadvantaged? Yes No |
| If yes, you must complete the Free Application for Federal Student Aid (FAFSA) |
| Ethnicity: | ||
| American Indian/Alaskan Native | Black/Non-Hispanic | Hispanic |
| Asian/Pacific Islander | White/Non-Hispanic | Other: |
| If you are American Indian/Alaskan Native, please complete the following: | |
| Tribal Affiliation: | |
Documentation Requirements:
Please check the box next to ALL applicable special emphasis areas below and provide documentation for each checked area:
The applicant is an individual historically under-represented (American Indian/Alaskan Native, Black/Non-Hispanic, Asian/Pacific Islander, Hispanic). Please provide an official document that indicates ethnicity (birth certificate, tribal registration, etc.).
The applicant is an enrolled member of the Devils Lake Sioux Tribe, Three Affiliated Tribes, Turtle Mountain Band of Chippewa, or Standing Rock Sioux Tribe. Please provide documentation of tribal enrollment.
The applicant is an individual historically under-represented and a graduate of a North Dakota high school. Please provide documentation of graduation--not necessary if already submitted to the UND Admissions Office.
The applicant (and his/her family, if dependent) is considered economically disadvantaged. This is defined as persons who have a total family contribution not to exceed 25% of North Dakota resident tuition for the previous year based upon the federally prescribed need analysis formula. Submission of the Free Application for Federal Student Aid (FAFSA) is required.
I give permission to release personal data on this form to the University of North Dakota.
Signature: Date:
UND Student Financial Aid Office, Twamley Hall Room 216, 264 Centennial Drive Stop 8371, Grand Forks, ND 58202-8371