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 this 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.
Student’s Last Name___________________ First Name_________________ MI ___
Date of birth_______________________
Street Address__________________________________________________________
City________________________________ State_______ Zip Code______________
Semester and year for which student is seeking admission______________________
High School Name_______________________________________________________
Counselor’s Signature_______________________________ Date________________
Counselor’s Name Printed ________________________________________________
Student’s Signature__________________________________ Date _______________
Please send completed forms to the Office of Undergraduate Admissions at the appropriate school:
Arizona State University |
Northern Arizona University |
University of Arizona |
PO Box 870112 |
PO Box 4084 |
PO Box 210073 |
Tempe, AZ 85287-0112 |
Flagstaff, AZ 86011 |
Tucson, AZ 85721-0073 |
Fax: 480.965.3610 |
Fax: 928.523.0226 |
Fax: 520.621.9799 |