Enclosure (1) to COMDTINST 1500.24
MAR 9 2000
TUITION ASSISTANCE AUTHORIZATION
CGI FORM 1560 (10/97)
SSN: _______________
NAME: ____________________________________________
SCHOOL CODE: 1516A
INSTITUTION: ST PETERSBURG JUNIOR COLLEGE
ENROLLMENT INFORMATION
TERM DATES:
START:
12-MAY-99
END:
21-JUN-99
COURSE
TITLE
HOURS
GOV SHARE
STU SHARE
PHI 1603
APPLIED ETHICS
2
.76
.92
PSY 1012
PSYCHOLOGY
3
3.14
.38
TOTAL
5
1.90
.30
I hereby authorize release of my grades to the US Navy.
I understand it
is my responsibility to ensure grades are submitted and non-receipt of
grades will prohibit additional tuition assistance.
________________________________
_____________________
Applicant's Signature
Phone
CGI 199902287
03-MAY99
____________________________________
AUTHORIZATION NUMBER
DATE
AUTHORIZE SIGNATURE OF USCG
PROGRAM MANAGER
THE PURPOSE OF THIS FORM IS TO ADVISE THE STUDENT AND THE SCHOOL THAT
THE COURSE (S) LISTED ABOVE IS APPROVED FOR PAYMENT AND THE PROCESS
FOR INVOICING THE USCG. THE STUDENT IS TO TAKE THIS FORM TO THE SCHOOL.
THIS FORM IS TO BE RETURNED TO THE ADDRESS SHOWN BELOW IF IT IS
CANCELED OR AMENDED IN ANY WAY. SHOW ACTION TAKEN ON THE RETURNED
FORM. FAILURE TO DO SO MAY RESULT IN A COLLECTION ACTION AGAINST THE
STUDENT, VIA THE COMMANDING OFFICER.
SCHOOLS SHOULD SEND INVOICES AND GRADES TO THE ADDRESS SHOWN BELOW:
COMMANDING OFFICER
NETPDTC N8115/COAST GUARD GROUP
6490 SAUFLEY FIELD ROAD
PENSACOLA FL 32509-5241
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