Request For Waiver of Application Fee

Arizona State University Northern Arizona University University of Arizona REQUEST FOR WAIVER OF APPLICATION FEE For Arizona residents for whom payment of the admission application fee

Arizona State University Northern Arizona University University of Arizona

REQUEST FOR WAIVER OF APPLICATION FEE

For Arizona residents for whom payment of the admission application fee would be a financial

hardship This fee is required of all Arizona residents applying for undergraduate admission to Arizona State University, Northern Arizona University, or the University of Arizona

 Counselors: by signing this form you are certifying a student’s need for a fee waiver

 If your student has already submitted an on-line application, please send this form to the

appropriate address at the bottom of the page

 If your student plans to submit a paper application, please attach this form to the application

 The application fee must be waived or received prior to any application priority deadline

Date of birth

Street Address

Semester and year for which student is seeking admission

High School Name

Counselor’s Name Printed

Please send completed forms to the Office of Undergraduate Admissions at the appropriate school:

Arizona State University Northern Arizona University University of Arizona

Tempe, AZ 85287-0112 Flagstaff, AZ 86011 Tucson, AZ 85721-0073

Arizona State University Northern Arizona University University of Arizona