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    Admission Application Fee Waiver Request Fillable Accessible

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    divinelyfavoured2005
    l

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    © All Rights Reserved
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    Admission Application Fee Waiver Request Fillable Accessible

    Uploaded by

    divinelyfavoured2005
    12 views2 pages
    l

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    admission-application-fee-waiver-request--fillable--accessible

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    l

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    12 views2 pages

    Admission Application Fee Waiver Request Fillable Accessible

    Uploaded by

    divinelyfavoured2005
    l

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Request for Admission

    Application Fee Waiver

    TO: DEAN/DIRECTOR OF ADMISSION AT


    university of houston
    NAME OF COLLEGE OR UNIVERSITY

    STUDENT: Print or type the information requested below. 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.
    Onyeukwu Divinefavour Chinaza O.D.C
    STUDENT’S NAME STUDENT’S SIGNATURE

    Christiana hospital road egbu owerri imo


    STUDENT’S ADDRESS CITY STATE ZIP

    AUTHORIZED OFFICIAL: Print or type the information requested below and check at least one of the indicators of economic need. You must
    personally sign the Certification Statement.
    CERTIFICATION STATEMENT: I certify that the student named on this form is either (a) currently enrolled in the 11th or 12th grade at this school,
    or if not currently enrolled, (b) an individual who is seeking enrollment as an undergraduate to an institution of postsecondary education; AND meet at
    least one of the indicators of economic need checked below.

    Stella Obinna S.O..C


    AUTHORIZED OFFICIAL'S NAME AUTHORIZED OFFICIAL'S SIGNATURE

    school principal kingstarmodelschoolnigeria@gmail.com


    AUTHORIZED OFFICIAL'S TITLE AUTHORIZED OFFICIAL'S EMAIL

    kingstar model school


    NAME OF SECONDARY EDUCATIONAL INSTITUTION OR ORGANIZATION CEEB# OR PROGRAM#

    ama wire egbu owerri, imo state Nigeria


    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.
     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 is enrolled in a federal, state or local program that aids students from low-income families (e.g., GEAR UP, TRIO such as Upward
    Bound or others).
     Student’s family receives public assistance (e.g., SSI, SNAP, or others).
     Student lives in federally subsidized public housing, a foster home, or is homeless.
     Student is a ward of the state or an orphan.
     Student has applied to FAFSA and is eligible to receive Pell Grant (provide a copy of the most recent Student Aid Report – SAR).
     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.
    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. Use the space below to explain or add supplemental information to the items above:
    _______________________________________________________________________________________________________
    A parent is being admitted to the hospital, and the family is facing significant financial strain due to the accumulating medical bills.
    _______________________________________________________________________________________________________
    _______________________________________________________________________________________________________

    **SEND THIS FORM DIRECTLY TO THE POSTSECONDARY INSTITUTION/ORGANIZATION**

    *To view USDA Income Eligibility Guidelines for the Free or Reduced Price Lunch Program, click on the Frequently Asked Questions by vising http://bit.ly/NACACfeewaiver.
    Rev. 2021
    FORM INSTRUCTIONS FOR STUDENTS, FAMILIES & EDUCATORS

    STEP 1 – Print the form or download the form on your computer.


    STEP 2 – Complete the form as follows:
    a. Name of the college or university: The student completes this part. The student writes the name of the college or
    university. Students can submit to a maximum of four universities. (One form for each university they are applying
    to).
    b. Student: The student completes this part. The student can sign by using the “Fill & Sign” tool on the PDF or simply
    type up the initials.
    c. Authorized official: The authorized official completes this part. A school counselor, postsecondary support
    personnel, or principal at the student's school OR an official from a community-based organization completes the
    Authorized Official section and verifies the student's economic eligibility. Note: CEEB# or PROGRAM# field can be
    found on the College Board website: https://collegereadiness.collegeboard.org/k-12-school-code-search. If not
    found, this field can remain blank.
    d. Economic Need: The student completes this part, and the authorized official verifies it. Student should check at least
    one indicator. Additional documents may be added to this form.
    a. If a student is enrolled in a federal, state or local program otherwise listed, check the “Other Request” box
    in the Economic Need section and specify which program the student is enrolled in.
    b. If you have applied for FAFSA, provide a copy of your most recent Student Aid Report (SAR) from the US
    Department of Education. Your Student Aid Report (SAR) is a paper or electronic document that gives you
    some basic information about your eligibility for federal student aid as well as listing your answers to the
    questions on your FAFSA. If you cannot locate your SAR, you can retrieve one from the US Department of
    Education’s Office of Federal Student Aid (FSA). Your SAR can be downloaded at (https://fafsa.ed.gov/)
    c. International students should check the "Other Request" box in the Economic Need section and explain
    their financial barrier(s) to paying the application fee on the lines provided.

    STEP 3 – Save the form. The completed form must be sent by the student directly to the institution's office of admission.
    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.

    Rev. 2021

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