Hispanic-Serving Institutions (HSI) Certification Form

OMB 3145-0247

OMB 3145-0247

The lead institution submitting a proposal to the Hispanic-Serving Institution Program must certify that they meet the eligibility requirements of an HSI as defined by law in section 502 of the Higher Education Act of 1965 (20 U.S.C. 1101a) (http://legcounsel.house.gov/Comps/HEA65_CMD.pdf). Therefore, the HSI Certification Form, signed by the institutional representative, must be included as a supplementary document with the submission of a proposal to the HSI Program.

The latest form for Hispanic-Serving Institutions (HSI) Certification Form expires 2021-07-31 and can be found here.


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