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Name*
First Last
Date of Birth (mm/dd/yyyy)
MM slash DD slash YYYY
Student ID Number*
High School Graduation Date*
MM slash DD slash YYYY
Number of Years on Active Duty Military
By checking the boxes below, I understand these items must be completed to process my HOPE evaluation request:*
By checking the boxes below, I understand these items must be completed to process my HOPE evaluation request:
- I have been accepted into an Associate Degree Program at CTC.
- I have a completed FAFSA on file and have been awarded Financial Aid.
- I have not exceeded 127 attempted or paid credit hours total from all institutions ever attended.
- I am not in Default or owe any refund on any type of financial aid funds. (ex: HOPE scholarship, HOPE Grant, Pell Grant, student loans)
- I must list all colleges/universities previously attended in the section below.
- I must provide transcripts from previously attended colleges/universities.
Postsecondary Institutions Attended*
Please list the names of ALL Postsecondary Institutions that you have attended:
Student Consent*
By checking this box, I agree and verify that all information provided on this form is true and correct.

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