Transfer Application Fee Waiver Request
*Please do not complete this form until you have submitted your application.*
Term applying for (if applying for main campus or extension transfer):
Fall
Spring
Summer
Term applying for: (if applying for an Online Accelerated Program)
Fall 1
Fall 2
Spring 1
Spring 2
Summer 1
Summer 2
Where are you transferring from? If you are transferring from another 2 year or 4 year college, please list the name of the institution below. If you are transferring from the military, please list “Military” below. If neither of these apply to you, please list the last college/University you attended below.
*
Intended Entry Year:
ex. 2020, 2021
Name
*
First Name
Last Name
Date of Birth:
*
MM/DD/YY
Email
*
example@example.com
Reason for Waiver:
*
Active Duty Military
Financial Need
Loss of applicant’s employment due to COVID-19
If you are requesting a fee waiver as an Active Duty service member, please list your entry and discharge dates here:
If you are requesting a fee waiver due to financial need, please upload supporting documentation here.Acceptable supporting documentation includes confirmation that you are receiving a Pell Grant, unemployment benefits, or other state or federal living assistance.
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of
If you are requesting a fee waiver because you have suffered a loss of employment due to COVID-19, please list the name and location of your former employer and your termination date:
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