Directions to Applicant: Complete all items on this form and submit it electronically to the Columbia College Financial Aid Office. Please also attach documentation of your spouse's active military status (copy of military dependent ID card) to the appropriate input box on this form. For more information about additional types of financial aid, please visit http://www.ccis.edu/financialaid. A printable copy of this form can be obtained here.

Tuition Discount Terms/Eligibility Requirements:

• Student will receive a 20% tuition discount at Columbia College.
• Student must be admitted to Columbia College.
• Must provide documentation of spouse's active military status.
• Discount is only available for undergraduate land-based course(s).

Application Form:

Name/ID

Last name:
First name:
Middle name/initial:
Student ID:

Contact Information

Street/P.O. Box:
City:
State:
Zipcode:
Work phone:
Home phone:

Spouse Information

Spouse's name:
Branch of service:
My spouse is currently serving active duty / Reserves / Guard: YesNo

Attachments

Allowed file types: .docx, .doc, .rtf, .txt, .pdf If there are errors processing your submission, files will need to be re-attached.

Applicant Certification

I have read and agree to the following terms and conditions: The information attached and listed above is completed and correct to the best of my knowledge. I understand that falsification of information or failure to provide documentation may result in the revocation of any scolarship/discount awarded. I understand that I must meet all eligibility requirements and must be eligible based on the terms of the award. I understand that I will be notified via CougarMail of any additional documentation that I must submit. I understand that I will be notified via my eAward letter through eServices of my award. The Two in Family and Associate Degree Transfer Grants cannot be used in conjunction with this award. I understand I cannot receive more than the cost of tuition between military tuition assistance and this award. I understand that I am financially responsible for any registration at Columbia College if I do not meet eligibility and terms of the Military Spouse Tuition Discount.

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