University of Texas at Arlington Tuition Rebate Program Application

Section A – Student

Submit the Tuition Rebate Application to the Registrar's Office no later than 5:00 p.m. on the Monday immediately following your commencement. If you do not graduate because you did not meet the graduation requirements, you will need to complete another form for the next semester in which you are eligible.

UTA ID# *
Must be 10 digits. Currently Entered: 0 digits.
Name Name * First Middle Last
UTA Email *
Semester of Graduation *

Semester of Graduation Fall Spring Summer Year Year
I hereby request a Tuition Rebate, as authorized under the Tuition Rebate Program, in accordance with Texas Education Code 54.0065, for the first baccalaureate degree I’ve earned. I have been a resident of Texas and entitled to pay resident tuition at all times while pursuing the degree, and will provide appropriate documentation when requested. I understand that the amount of the rebate will not exceed $1,000 and is limited to only those amounts paid by me for Education and General tuition (excluding financial aid). I also agree that the university will first apply the rebate to all outstanding obligations to University of Texas at Arlington and the State of Texas. *

I hereby request a Tuition Rebate, as authorized under the Tuition Rebate Program, in accordance with Texas Education Code 54.0065, for the first baccalaureate degree I’ve earned. I have been a resident of Texas and entitled to pay resident tuition at all times while pursuing the degree, and will provide appropriate documentation when requested. I understand that the amount of the rebate will not exceed $1,000 and is limited to only those amounts paid by me for Education and General tuition (excluding financial aid). I also agree that the university will first apply the rebate to all outstanding obligations to University of Texas at Arlington and the State of Texas. Certify
Draw your signature into the box below. *

Clear