* = Required Fields


Personal Data:

  • * Last Name

    * First Name:

    Middle Name:

  • Maiden name or any other names you have used due to marriage/divorce:

  • Student ID# (if you know it):

  • * Address:

    * City:

    * State:

    * Zip:

  • * Phone:

    Other Phone:

  • * Social Security #:

    * Birth date:

  • Email Address:

  • Are you/your spouse/your parent active duty military?:

  • Enrollment Information:

  • Which TSTC West TX location will you be attending? (check one):





  • Program Name:

  • Program Type (check one):

  • Are you a new student at TSTC?:

  • When will you begin attending TSTC?:

    *  of    (Enter Year)
  • When do you expect to graduate from TSTC?:

    *  of    (Enter Year)
  • While receiving financial aid, I will be living:

  • Did you graduate from high school or receive a GED?:

    If so, when?:

  • Have you attended any other college(s) or universities (including present)?:

    If so, when?:

  • * You must notify the Financial Aid Office if you receive any additional financial assistance from any source.

  • Will you receive or do you intend to apply for educational assistance from any of the programs listed below? (Answer all questions by checking the appropriate response) :

    Workforce Investment Act (WIA):

    Dept. of Assistive & Rehabilitative Services (DRS) (formerly TRC):

    Scholarship assistance:

    Please Enter Name and Amount

    Other Educational Benefits:

    Please Enter Name and Amount

  • Please check each box after reading to acknowledge that you understand the stipulations listed below:

  • I will report to the financial aid office any additional aid or other assistance, including scholarships and sponsorships, which I receive.
    I will notify the financial aid office before making any changes to my program of study.
    I understand that I must be enrolled and attend on at least a half-time (6 credit hours) basis in order to receive financial aid (possibly excluding Pell Grants).
    I understand that TSTC Student Accounting will deduct school related charges (such as tuition, fees, room and board, and also may include books and supplies, insurance, parking permits, and other allowable charges) from any source of my financial aid.
    I understand that if I do not complete the 60% point of the semester, I have only earned a portion of the Title IV aid and I may end up owing money back to a federal program and/or TSTC West Texas.
    TSTC may release enrollment, academic, and/or financial aid information to any organization to whom I have applied for assistance.
    TSTC may modify aid commitments, without prior notice, because of changes in my financial aid status or for changes in the availability of funds. Aid commitments may be prorated or canceled for less than half-time enrollment.
    I understand that failure to attend all classes by the census day may result in a reduction of my financial aid, and that if I am enrolled in a class that begins after the census day (i.e Block Schedule), financial aid for that class will not be earned until attendance is verified by the census date of that class. Loans and certain grants will not be available until attendance is verified for classes totaling 6 or more credit hours.
    I understand how my financial aid will be awarded.
  • Texas State Technical College West Texas programs and services are available to academically qualified individuals regardless of race, color, national or ethnic origin, religion, disability, gender or age. Texas State Technical College West Texas will make reasonable accommodations for people with disabilities.


    "I certify that all statements made by me in this declaration form are true and correct. I understand that any false statements or omissions could be considered fraud against the federal government, and may be grounds for my dismissal from Texas State Technical College West Texas or for refusal to gain financial aid or continued enrollment in the College.


    BY SIGNING THIS DECLARATION OF INTENT AND CONSENT FORM, I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THIS FORM."

    Applicant Signature:      Date:
  • Please type the character you see. (Case Sensitive. No Spaces.)

    300 Homer K. Taylor Drive, Sweetwater, Texas 79556
    325.235.7393 (phone) or 325.235.7443 (fax)
    www.westtexas.tstc.edu