$form_text

To request a waiver, please complete the following form and submit it with proof of participation such as a verification/certification letter as soon as possible and no later than 5:00 pm, January 1.

Proof of participation falls in three broad categories: Honors/Research (ie., Fulbright, Truman Scholarship), Public Service (ie., Teach for America, Military), and Educational/Socio-Economic Disadvantage (CYDL participant, Gates Scholar, Pell Grant recipient).














Address Line 1
Address Line 2
City
State
Zip Code
Country




I am currently enrolled or a graduate (no more than 2 years prior to the fee waiver request) of the following public service program and will attach verification:








I have received the following Honors/Research Scholarship and will attach verification:






I am a participant or participated in one of the following programs and will attach verification







I understand that my application fee may be waived based on the information that I have provided. I certify that all the information I have provided is true and complete.