Nebraska Opportunity Grant Application
XXXX-XX Academic Year
Institution_________________________________________________________________
Please read the instructions carefully. Complete and return via mail to J. Ritchie Morrow, Coordinating Commission for Postsecondary Education, P.O. Box 95005, Lincoln, NE 68509-5005, via fax at 402.471.2886, or via e-mail at Ritchie.Morrow@nebraska.aov by [Date]. Please make sure that the application and the Statement of Assurance are signed and dated.
_____A. Is the teaching calendar at your institution based on semester credit hours (SCH), quarter credit hours (QCH), or clock hours (CH)?
_____B. Number of eligible students - for the award year July 1, YYYY to June 30, YYYY, the total number of Nebraska resident students who have not earned a bachelor's degree and whose EFC was equal to or less than [the yearly maximum EFC for the current award year].
_____1. Of those students listed in "B" above, the total number of enrolled credit/clock hours.
C. Tuition and mandatory fees
_______ For institutions that charge by the semester or quarter hour, provide the resident, full-time tuition and mandatory fees for your institution's YYYY-YY academic year.
-Full-time is defined as 30 semester credit hours or 45 quarter credit hours.
-For independent colleges and universities and private career colleges the resident distinction does not apply.
For institutions that charge by the program, in the space below provide the name of the program, the cost for the program, and the length of the program for July 1, YYYY, through June 30, YYYY, (e.g., cosmetology, $10,000, 14 months; computer technology, $25,000, 18 months). If the institution offers more than one program, you must provide the weighted average program cost and the weighted average program length of all programs.
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I assure the information contained in this document is, to the best of my knowledge, an accurate portrayal of the records maintained by the institution I represent. I understand that all institutional information obtained to complete this application will be maintained for review during an on-site audit. I have included the signed Statement of Assurance. I understand that any intentional misrepresentation of the facts will void this institution's participation in the Nebraska Opportunity Grant Act.
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Name of Authorized Institutional Representative (Printed or Typed)
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Signature of Authorized Institutional Representative Date
Neb. Admin. Code COORDINATING COMMISSION FOR POSTSECONDARY EDUCATION, tit. 281, ch. 5, app A