Tuition Certificate Submission Form

Certificates are transferrable. If a teacher wishes to transfer their certificate to another student, they may do so by providing the name and ID of the student.

Name of Teacher Submitting Certificate Name of Teacher Submitting Certificate First Last
Date Issued to Teacher (Date provided on Certificate) Date Issued to Teacher (Date provided on Certificate) / MM / DD YYYY
(If the student receiving aid is not the same as the teacher who initially received the certificate)
Name of Student Receiving Tuition Assistance (If the student receiving aid is not the same as the teacher who initially received the certificate)
Name of Student Receiving Tuition Assistance First Last
WCU Student ID for student receiving Tuition Assistance
Provide the term in which the certificate should be applied. (Provide the term in the following format Fall 20XX, Spring 20XX, or Summer 20XX)
Upload a copy of the Tuition Certificate

Attach Files
I hereby confirm that the information being provided is accurate to the best of my knowledge. I acknowledge that knowingly providing false information in an attempt to gain financial aid is punishable by law and subject for dismissal from the university.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.