Hispanic-Serviing Institutions Certification Form

Hispanic-Serving Institutions (HSI) Certification Form

Certification for PUI Eligibility

Hispanic-Serviing Institutions Certification Form

OMB: 3145-0247

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Certification of PUI Eligibility. A Certification of PUI Eligibility, following the format below and executed by an Authorized Organizational Representative, must be included in PUI requests (Planning or Pilot Projects (PPP) only). A current, signed Certification, included on institutional letterhead, should be scanned and included as a PDF file.

Certification of PUI Eligibility

By submission of this proposal, the institution hereby certifies that the originating and managing institution is an accredited college or university that awards Associates degrees, Bachelor's degrees, and/or Master's degrees in NSF-supported fields, but has awarded 20 or fewer PhD/DSci degrees in all NSF-supported fields during the combined previous two academic years.

Authorized Organizational Representative

Typed Name and Title

Signature

Date



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorPlimpton, Suzanne H.
File Modified0000-00-00
File Created2021-07-30

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