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Get NACAC Request for Admission Application Fee Waiver 2018-2024

You must personally sign the Certification Statement. CERTIFICATION STATEMENT I certify that I understand and meet all eligibility requirements to request an admission application fee waiver. Request for Admission Application Fee Waiver SEND THIS FORM DIRECTLY TO THE POSTSECONDARY INSTITUTION/ORGANIZATION TO DEAN/DIRECTOR OF ADMISSION AT NAME OF COLLEGE OR UNIVERSITY STUDENT Print or type the information requested below. NAME OF SECONDARY EDUCATIONAL INSTITUTION OR ORGANIZATION CEEB OR PROGRAM ADDRESS PHONE ECONOMIC NEED The student must meet at least one of the following indicators of economic need. If no item is checked the request will be denied. Student has received or is eligible to receive an ACT or SAT testing fee waiver. Given my knowledge of this student s family circumstances and after reviewing the eligibility guidelines I believe that providing the application fee would present a hardship. Explanation To view USDA Income Eligibility Guidelines for the Free or Reduced Price Lunch Program or review FAQs related to this form visit http //bit. STUDENT S NAME STUDENT S SIGNATURE STUDENT S ADDRESS CITY STATE ZIP AUTHORIZED OFFICIAL Print or type the information requested below and check the indicator s of economic need* You must personally sign the Certification Statement. or if not currently enrolled b an individual who is seeking enrollment as an undergraduate to an institution of postsecondary education AND meets the indicator s of economic need checked below. 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. e*g* TRIO programs such as Upward Bound. Student s family receives public assistance. Student lives in federally subsidized public housing a foster home or is homeless. Student is a ward of the state or an orphan* Other request from high school principal high school counselor financial aid officer community advisor/leader or other official who can attest to the student s circumstances. STUDENT S NAME STUDENT S SIGNATURE STUDENT S ADDRESS CITY STATE ZIP AUTHORIZED OFFICIAL Print or type the information requested below and check the indicator s of economic need* You must personally sign the Certification Statement. or if not currently enrolled b an individual who is seeking enrollment as an undergraduate to an institution of postsecondary education AND meets the indicator s of economic need checked below. 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. Student s annual family income falls within the income Eligibility Guidelines set by the USDA Food and Nutrition Service. e*g* TRIO programs such as Upward Bound. Student s family receives public assistance. Student lives in federally subsidized public housing a foster home or is homeless. .

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