HOPE/Zell Miller Scholarship Evaluation Name* First Last Date of Birth (mm/dd/yyyy) Date Format: MM slash DD slash YYYY Student ID Number*High School Graduation Date* Date Format: MM slash DD slash YYYY Number of Years on Active Duty Military*By checking the boxes below, I understand these items must be completed to process my HOPE evaluation request: I have been accepted into an Associate Degree Program at CTC. I have a completed FAFSA on file and have been awarded Financial Aid. I have not exceeded 127 attempted or paid credit hours total from all institutions ever attended. I am not in Default or owe any refund on any type of financial aid funds. (ex: HOPE scholarship, HOPE Grant, Pell Grant, student loans) I must list all colleges/universities previously attended in the section below. I must provide transcripts from previously attended colleges/universities. Postsecondary Institutions Attended*Please list the names of ALL Postsecondary Institutions that you have attended:Student Consent*By checking this box, I agree and verify that all information provided on this form is true and correct. Author Tara Askew