Nebraska Administrative Code › Topic - COORDINATING COMMISSION FOR POSTSECONDARY EDUCATION › Title 281 - COORDINATING COMMISSION FOR POSTSECONDARY EDUCATION › Chapter 5 - RULES AND REGULATIONS CONCERNING THE NEBRASKA OPPORTUNITY GRANT ACT › Appendix A - Sample Application for Institutions Participating in the Nebraska Opportunity Grant Program

Current through June 17, 2024
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.
_________________________________________________________________________________________________________________________________
_________________________________________________________________________________________________________________________________
..............................................................................................................................................................................................................................................................................................................
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
.
_________________________________________________________
Name of Authorized Institutional Representative (Printed or
				  Typed)
___________________________________________
				  ______________
Signature of Authorized Institutional Representative
				  Date