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The form collects student identity, contact address, and signature, and includes a certification confirming eligibility and understanding of requirements. An authorized official completes the certification for economic need, checks applicable indicators such as ACT/SAT fee waivers, Free/Reduced Price Lunch eligibility, income within USDA guidelines, participation in low-income assistance programs, public assistance, subsidized housing or homelessness, and concludes with an explanation supporting hardship.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":20,"@type":76,"position":81},"https://docshare.wps.com/document/exam/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/admission-application-fee-waiver-request-form/272287/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/admission-application-fee-waiver-request-form/272287.png","ImageObject",300,407,{"name":92,"@type":93},"McGucket","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-09-15",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",11,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Where must the admission application fee waiver form be sent?","Question",{"text":113,"@type":114},"Send the form directly to the postsecondary institution/organization, addressed to the dean/director of admission.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What must the student provide and sign?",{"text":118,"@type":114},"The student must print or type the requested information and personally sign the certification statement.",{"name":120,"@type":111,"acceptedAnswer":121},"How does an authorized official demonstrate economic need?",{"text":122,"@type":114},"The authorized official prints/types required details, checks at least one economic-need indicator, and signs the certification statement, including an explanation supporting the hardship.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},272287,1789464175,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":19,"category_name":20,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":8,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":130,"read_time":81},1236954412713,"https://us-avatar.wpscdn.com/davatar_29158cc5080c5b710cf443261637dec0","Request for Admission Application Fee Waiver  \nSEND THIS FORM DIRECTLY TO THE POSTSECONDARY INSTITUTION/ORGANIZATION  \nTO: DEAN/DIRECTOR OF ADMISSION AT  \n| NAME OF COLLEGE OR UNIVERSITY |  |\n| --- | --- |\n| STUDENT: Print or type the information requested below. You must personally sign the Certification Statement. |  |\n| CERTIFICATION STATEMENT: I certify that I understand and meet all eligibility requirements to request an admission application fee waiver. |  |\n| STUDENT’S NAME | STUDENT’S SIGNATURE |\n\nSTUDENT’S ADDRESS CITY STATE ZIP  \nAUTHORIZED OFFICIAL: Print or type the information requested below and check the indicator(s) of economic need. You must personally sign the Certification Statement.  \nCERTIFICATION 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 meets the indicator(s) of economic need checked below.  \n\n| AUTHORIZED OFFICIAL'S NAME | AUTHORIZED OFFICIAL'S SIGNATURE |\n| --- | --- |\n| AUTHORIZED OFFICIAL'S TITLE | AUTHORIZED OFFICIAL'S EMAIL |\n| NAME OF SECONDARY EDUCATIONAL INSTITUTION OR ORGANIZATION | CEEB\\# OR PROGRAM\\# |\n\nADDRESS PHONE  \n\n| 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. |\n| --- |\n| 􀂅 Student has received or is eligible to receive an ACT or SAT testing fee waiver.\u003Cbr>􀂅 Student is enrolled in or eligible to participate in the Federal Free or Reduced Price Lunch program (FRPL) .\u003Cbr>􀂅 Student’s annual family income falls within the income Eligibility Guidelines* set by the USDA Food and Nutrition Service.\u003Cbr>􀂅 Student is enrolled in a federal, state or local program that aids students from low-income families (e.g., GEAR UP or TRIO programs such as Upward Bound) .\u003Cbr>􀂅 Student’s family receives public assistance.\u003Cbr>􀂅 Student lives in federally subsidized public housing, a foster home, or is homeless.\u003Cbr>􀂅 Student is a ward of the state or an orphan.\u003Cbr>􀂅 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.\u003Cbr>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. Explanation:\u003Cbr>\u003Cbr>|\n\n*To view USDA Income Eligibility Guidelines for the Free or Reduced Price Lunch Program or review FAQs related to this form visit this USDA resource.","cbCaif0OWngo8xQm","https://ap.wps.com/l/cbCaif0OWngo8xQm","pdf",219427,"English","# Student Information\n# Certification Statement\n# Economic Need Indicators\n# Authorized Official Information\n# Explanation for Hardship","[{\"question\":\"Where must the admission application fee waiver form be sent?\",\"answer\":\"Send the form directly to the postsecondary institution/organization, addressed to the dean/director of admission.\"},{\"question\":\"What must the student provide and sign?\",\"answer\":\"The student must print or type the requested information and personally sign the certification statement.\"},{\"question\":\"How does an authorized official demonstrate economic need?\",\"answer\":\"The authorized official prints/types required details, checks at least one economic-need indicator, and signs the certification statement, including an explanation supporting the hardship.\"}]","Admission Application Fee Waiver Request Form | PDF"]