Concord University Application for Reduced Tuition and Fees
Name: (Last, First, Middle)
Last:
First:
Middle:
Social Security Number:
E-Mail:
Phone Number:
High School Presently Attending:
Mailing Address
Number and Street or PO Box:
City:
State:
County:
Zip Code:
Date of High School Graduation:
Sex:	Female Male
Birth date (month/day/year):
What is your intended major or program of study:
Parent's or Guardian's Names:
Parent's or Guardian's E-Mail:
Phone Number:
Permanent Address of Parent or Guardian
Number and Street or PO Box:
City:
State:
County:
Zip Code:
Father's Occupation / Employer:
Mother's Occupation / Employer:
If you applying for the Tuition Options Program Scholars, please complete Section One only.  If you are applying for the Border Counties Program, please complete Section Two only.  If you are applying for the Children of Educators Tuition Reduction Program, please complete Section Three only.  You may only apply for one program.
SECTION ONE - Tuition Options Program Scholars (TOPS)
Student must be a first-time full-time freshman, reside on-campus, maintain a 2.0 GPA, and be in good standing with the University's judicial system. To qualify for TOPS, student must declare one of these selected programs of study.*
Please Select a Major or Program of Study:	Biology or Chemistry Emphasis Pre-professional (Medical, Dental, Pharmacy or Physical Therapy) Recombinant Gene Technology Athletic Training Math Emphasis Computer Science Computer Information Systems Advertising/Graphic Design Geography Geographic Information Systems Business Administration Emphasis Accounting Administrative Systems Management Marketing Finance Recreation and Tourism Management Emphasis Park and Recreation Tourism Planning and Promotion Hospitality Management Education Emphasis Early Childhood Special Education Pre K-K Elementary Education with Early Childhood Special Education Pre K-K Secondary Education Specialization in Math 5-9 or 5-Adult Secondary Education Specialization in Science 5-9, 5-Adult Biological Science 9-Adult, and Chemistry 9-Adult Foreign Language** Social Work
SECTION TWO - Border Counties Program
Student must be first-time full-time freshman, reside on-campus, maintain a 2.0 GPA, and be in good standing with the University's judicial system. Parents or guardians must have a permanent residence in one of the following counties to qualify.***
Please Indicate the County in Which You Maintain a Permanent Residence	In Virginia: N/A Frederick Bland Tazewell Buchanan Shenandoah Rockingham Augusta Highland Bath Alleghany Craig Giles Loudoun In Maryland: N/A Garrett Allegany Washington In Ohio: N/A Columbiana Jefferson Belmont Monroe Washington Athens Meigs Gallia Lawrence In Pennsylvania: N/A Beaver Washington Greene Fayette In Kentucky: N/A Boyd Lawrence Martin Pike
SECTION THREE - Children of Educators Tuition Reduction Program
Student must be first-time full-time freshman, reside on campus, maintain a 2.0 GPA, and be in good standing with the University's judicial system. Parent(s) or guardian(s) must be employed as a public or private elementary or secondary educator in one of the 49 states.****
School system currently employed:
Supervisor's name:
Supervisor's Phone Number:
* Student must file a new application if switching from one TOPS major to another. ** Not offered as a major at this present time. *** Permanent residence in one of the following counties is required. **** West Virginia students do not qualify.
You MUST also apply for regular admission. CLICK HERE