Student Release & Fee Waiver Packet

This form combines the Student Release form with the Fee Waiver/Fee Payment form.

Please fill out the information below. It will automatically sent to your advisor.

Fee Waiver/Student Release

Tell Us About Yourself

Name
Name
First
Middle
Last
Race/Ethnicity
U.S. Citizen?
Address
Address
City
State/Province
Zip/Postal
Parent/Guardian Name
Parent/Guardian Name
First
Last

Tell Us About Your Family's Income

If no income, please put "0"

Additional Benefits:

per month
per month
per month
per month
Any additional circumstances we should be aware of?
X