TUITION AWARD W APPLLICATION for NYU Stteinhardt Fe ellows and Reesearch Assiistants In nstructions Th his form is used d to apply for ttuition awards by eligible NYU Steinhardt FFellows and Reesearch Assistants. Complete all reequested sectio ons, sign the fo orm, and subm mit it to the Offfice of Administration & Finan nce: Hard Copy H Fax EEmail Attn n: Rosa Lin 627 Broaadway, 7th Floo or Attn: Rosa Lin 212 995 4778 rosa.lin [email protected] (no ssignature is necessary if sent from yyour NYU email account) New York, NY 10012 Th his form must b be submitted a as soon as you register for cla asses. Late subbmissions can rresult in late ch harges not coveered by the tu uition award. P Please notify Ro osa Lin of any ccourse changess via email at [email protected]. LAST NAME FIRST NAME MI UNIVERSITY ID AWARDD TYPE N Fellowship NYU SCHOOL IN WHICH YOU ARE ORR WILL BE MATRICULAATED einhardt NYU Ste Oth her (specify) ANTICIPATED DEGREE MS/MA PROGRAM/MAJOR A SEMESTER PhD Oth her (specify) RA Fall Spring Summer Year 20_____ _ COURSE NO. COURSSE TITLE SCHOOL (IF OTHE R THAN NYU STEINHARDT) CREDITS 0 TO OTAL CREDITS: FOR ADMINISTRATION & FINANCCE USE ONLY DATE AWARD PROCESSED ITEM M TYPE DESCRIPTION AMOUNT May 26, 2011
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