Instructions for Completing Tuition Waiver

Completed by the waiver applicant.
Please include all information as follows:

• First, middle, and last names
• Previous legal names
• House number, street name, city, state, and zip code
• Phone number, including area code
• Month, day, and year of birth
• Social Security number
• E-mail address
• Foster or adoptive father’s full name, including middle name or initial and foster or adoptive mother’s full name including maiden name
• Indicate date of high school graduation or GED Certificate
• Indicate date of anticipated entry into public postsecondary institution
• Indicate whether student has previously applied for the waiver
• Indicate whether student has served in active duty status in the military
• Check the correct eligibility criteria box
• Check box for release of information and sign and date the form

After completion of the student information section and Section 1 of the form, turn the form into the public postsecondary institution. Verification of student information may be requested.