Georgia HOPE Scholarship Application

	Georgia HOPE Scholarship Application

Please provide the information requested below, completely answering all questions posed. Incomplete applications WILL NOT be reviewed. Remember: Application deadline is May 1, 2005 for the 2004-05 Academic award year.
First Name:		Last Name:
Street Address:		Social Security #:
City:		Phone:
State:		Alternate Phone:
Zip:		E-mail:

**Per Federal Citizenship and state of Georgia Residency Requirements for Student Financial Aid**
You must be a legal resident of Georgia for 12 months prior to the registration date of the term for which the scholarship is being sought at any Georgia Postsecondary institution to seek a degree and continue to meet the residency requirement.

I hereby apply for the Georgia HOPE scholarship effective the

Term.

What is your current enrollment status?

Have you ever received the Georgia HOPE Scholarship?

Are you a Georgia resident?

When did you move to Georgia?

MMYYYY format

Are you a U.S. Citizen?

^{(If
NO, you must provide your permanent resident card to Student
Finance)}

List all two and four year colleges attended (Georgia, USA, and International), including dates of attendance:

Name of College #1:

From: (MMYYYY)
To: (MMYYYY)

Name of College #2:

From: (MMYYYY)
To: (MMYYYY)

Name of College #3:

From: (MMYYYY)
To: (MMYYYY)

Name of College #4:

From: (MMYYYY)
To: (MMYYYY)

Name of College #5:

From: (MMYYYY)
To: (MMYYYY)

Name of College #6:

From: (MMYYYY)
To: (MMYYYY)

Have you attempted at least 30 semester / 45 quarter hours, but no more than 127 semester / 190 quarter hours combined at all two and four year colleges that you have ever attended?

Have you earned a cumulative undergraduate grade point average of at least 3.0? “Cumulative” includes all grades attempted at all two and four year colleges ever attended?

*** Student Certification of Intent and Understanding ***

By this application, I ask that my academic records be evaluated for the Georgia HOPE scholarship eligibility. By typing "Yes" below, I certify the following:

1) I understand that this application will not be reviewed until DeVry Georgia receives official transcripts for all two and four year colleges that I have attended previously. I understand also that it is my responsibility to make all arrangements necessary regarding transcript delivery to DeVry Georgia.

2) I understand that my Georgia HOPE eligibility is based upon a review of all two and four year college work ever attempted. I acknowledge that a failure to disclose any college work attempted previously will affect my Georgia HOPE eligibility.

3) I understand that I must also complete the Free Application for Federal Student Aid (FAFSA - http://www.fafsa.ed.gov) to be evaluated for the Georgia HOPE Scholarship.

Type "YES" in the box to accept the Intent and Understanding statement above. (Type Yes in the box to accept.)