Out of State Tuition Waiver

Out of State Tuition Waiver

Applications will be taken until the:

11th day of class (Fall/Spring)
5th day of class (All Summer Sessions)

as indicated in the Academic Calendar

NOTICE: THIS WAIVER MUST BE FILLED OUT FOR EVERY SEMESTER
What State do you live in?*
If your State is not listed, you are NOT eligible for an Out of State Tuition Waiver.
What Parish do you live in?
If your Parish is not listed, you are NOT eligible for an Out of State Tuition Waiver.
What MS County do you live in?
If your County is not listed, you are NOT eligible for an Out of State Tuition Waiver.
What MO County do you live in?
If your County is not listed, you are NOT eligible for an Out of State Tuition Waiver.
What OK County do you live in?
If your County is not listed, you are NOT eligible for an Out of State Tuition Waiver.
What TN County do you live in?
If your County is not listed, you are NOT eligible for an Out of State Tuition Waiver.
What TX County do you live in?
If your County is not listed, you are NOT eligible for an Out of State Tuition Waiver.
Student ID*
Student's Name*

First NameMiddle NameLast NameSuffix
Student's Address*

Street Address

Street Address Line 2

CityState

Zip Code
Student's Phone Number*

Area CodePhone Number
Student's Email*
NOTICE: A WAIVER MUST BE FILLED OUT FOR EACH SEMESTER
Semester Attending*
Year Attending*
Are you an Arkansas Wage Earner?*
This field is optional if you live in a qualified Louisiana Parish.
Are you a Dependent of an Arkansas Wage Earner?*
Does the AR Wage Earner make a minimum annual salary of $5,500?*
Proof of Residence*

Upload a File
ex: Driver's License, Light Bill, Lease Agreement, or other official document showing current physical address. Cancelof
Proof of AR Wage Earnings*

Upload a File
ex: Copy of previous year's AR W-2 Cancelof
AR Wage Earner's Relation to Student*
AR Wage Earner Name*

First NameMiddle NameLast NameSuffix
AR Wage Earner SSN*
AR Wage Earner's Current Employer*
AR Wage Earner's Employer Address*

Street Address

Street Address Line 2

CityState

Zip Code
AR Wage Earner's Employer Phone Number*

Area CodePhone Number
AR Wage Earner's Supervisor Name*

First NameLast Name
AR Wage Earner's Supervisor Email
Student's Signature*

Clear
Date of Signature*

MonthDayYear
Should be Empty: