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Request for Admission Application Fee Waiver

Request for Admission Application Fee WaiverSEND THIS FORM DIRECTLY TO THE POSTSECONDARY INSTITUTION/ORGANIZATIONTO: DEAN/DIRECTOR OF Admission ATNAME OF COLLEGE OR UNIVERSITYCERTIFICATION STATEMENT: I certify that I understand and meet all eligibility requirements to Request an Admission Application fee S NAME STUDENT S SIGNATURESTUDENT S ADDRESS CITY STATE ZIP STUDENT: Print or type the information requested below. You must personally sign the Certification OFFICIAL'S NAME AUTHORIZED OFFICIAL'S SIGNATURE AUTHORIZED OFFICIAL'S TITLE

Student has received or is eligible to receive an ACT or SAT testing fee waiver. Student is enrolled in or eligible to participate in the Federal Free or Reduced Price Lunch program (FRPL). Student’s annual family income falls within the income Eligibility Guidelines* set by the USDA Food and Nutrition Service.

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Request forAdmission Application Fee Waiver

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The student should contact the office of admission to determine the school's accepted mode of delivery (e.g., mail, email, fax). The student should follow up with the office of admission 2-4 weeks post submission to check on the approval status.

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Student has received or is eligible to receive an ACT or SAT testing fee waiver. Student is enrolled in or eligible to participate in the Federal Free or Reduced Price Lunch program (FRPL). Student’s annual family income falls within the income Eligibility Guidelines* set by the USDA Food and Nutrition Service.

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