Texas A&M University at Galveston Employee Scholarship Application Fall _____ Spring _____ The mission of Texas A&M University at Galveston is: Texas A&M University at Galveston is a special-purpose institution of higher education for undergraduate and graduate instruction in marine and maritime studies in science, engineering and business and for research and public service related to the general field of marine resources. The institution is under the management and control of the Board of Regents of The Texas A&M University System, with degrees offered under the name and authority of Texas A&M University at College Station. As an institution of higher education, we have a core value to support lifelong learning for all. We desire to encourage our employees to seek baccalaureate degrees to further enhance their professional capacities as well as our learning environment, productivity and effectiveness. To be eligible for a scholarship to cover enrollment in TAMUG classes, a TAMUG employee must: Be a full-time employee with a minimum of 12 months of service. Have a minimum performance rating of “Meets Expectations” on their most recent performance evaluation. Have supervisor approval. Be admitted to TAMUG as an undergraduate student based on published admission criteria. Enroll in undergraduate classes only. Comply with published policy regarding release time if classes are taken during the employee’s regular work hours. Be a Texas resident. The scholarship will be provided for a maximum of four semester credit hours during the Fall or Spring terms, based on the schedule below. This schedule includes basic costs but does not include laboratory or field trip fees; employees will typically cover these costs individually. Total Cost – 1112 Cohort Current Waiver Health Center Fee Student Center Rec Center TOTAL SCHOLARSHIP APPLIED – 1112 Cohort Total Cost – 1213 Cohort Current Waiver Health Center Fee Student Center Rec Center TOTAL SCHOLARSHIP APPLIED – 1213 Cohort 3 SCH 1012.56 4 SCH 1316.58 40.50 40.00 20.00 40.50 40.00 20.00 912.06 1216.08 3 SCH 1023.70 4 SCH 1331.06 40.50 40.00 20.00 40.50 40.00 20.00 923.20 1230.56 Total Cost – 1314 Cohort Current Waiver Health Center Fee Student Center Rec Center TOTAL SCHOLARSHIP APPLIED – 1314 Cohort Total Cost – 1415 Cohort Current Waiver Health Center Fee Student Center Rec Center TOTAL SCHOLARSHIP APPLIED – 1415 Cohort Total Cost – 1516 Cohort Current Waiver Health Center Fee Student Center Rec Center TOTAL SCHOLARSHIP APPLIED – 1415 Cohort 3 SCH 1035.00 4 SCH 1345.76 40.50 40.00 20.00 40.50 40.00 20.00 934.50 1245.26 3 SCH 1046.47 4 SCH 1360.67 40.50 40.00 20.00 40.50 40.00 20.00 945.97 1260.17 3 SCH 1160.94 4 SCH 1483.75 40.50 40.00 20.00 40.50 40.00 20.00 1060.44 1383.25 Texas A&M University at Galveston Employee Scholarship Application Authorization Form Fall _____ Spring _____ To be eligible for a scholarship to cover enrollment in a 3 or 4 hour TAMUG class a TAMUG employee must: Be a full-time employee with a minimum of 12 months of service. Have a minimum performance rating of “Meets Expectations” on their most recent performance evaluation. Have supervisor approval. Be admitted to TAMUG as an undergraduate student based on published admission criteria. Enroll in undergraduate classes only. Comply with published policy regarding release time if classes are taken during the employee’s regular work hours. Be a Texas resident. NAME: ____________________________________________________________________ UIN: _________________________________ Telephone: __________________________ EMPLOYEE SCHOLARSHIP AUTHORIZATIONS SUPERVISOR: The employee must have supervisor approval to take class. As the supervisor, do you approve? YES / NO _________________________________________________ Signature ______________________ Date HUMAN RESOURCES: The employee must be a full-time employee with a minimum of 12 months of service, must have a minimum performance rating of “Meets Expectations” on their most recent performance evaluation, and must comply with published policy regarding release time if classes are taken during the employee’s regular work hours. Does the employee meet these requirements? YES / __________________________________________________ Signature NO _______________________ Date ADMISSIONS: The employee must be admitted to TAMUG based on published admission criteria, may enroll in undergraduate classes only, and must be a Texas Resident. Does the employee meet these requirements? YES / ___________________________________________________ Signature FINANCIAL MANAGEMENT SERVICES: The employee must complete an employee waiver. Has this waiver has been completed? YES / ______________________ Date NO ___________________________________________________ Signature Do you currently have a baccalaureate degree? YES NO _______________________ Date / NO Intended Course? ______________________________________________________________________ Please provide a brief explanation of your educational goals and how this course relates to your goals or your current position: __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ __________________________________________________________________________________________________ _____________________________________ Employee Signature __________________________ Date Your signature above will above authorizes TAMUG to verify you have completed the above requirements. The scholarship will be provided for maximum of four semester credit hours a semester. The scholarship will cover basic tuition and fee costs, but does not include field trip fee. Employees will cover these costs individually. APPLICATION DEADLINE – January 25, 2016. THE AUTHORIZATION AND APPLICATION FORM SHOULD BE FORWARDED TO THE OFFICE OF SCHOLARSHIPS WHEN COMPLETE.