Application For Reduced University Fees - Registration In Absentia Form
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APPLICATION FOR REDUCED UNIVERSITY FEES – REGISTRATION IN ABSENTIA
Students whose research or study requires them to remain outside the State of California throughout the quarter may
petition to pay a reduced tuition (registration in absentia). Nonresidents of California must pay the nonresident tuition.
Students pay 15% of the Student Services Fee and Tuition, full Student Government Fees, and the full Student Health
Insurance Premium (unless exempted by waiver). Students are not charged for the Community Centers Facility Fees.
If you wish to petition for the reduction of the registration fee, please complete the form below, present it to your
Graduate Advisor for approval and signature and submit the completed form to the Office of the Dean of the Graduate
Division. A petition to register in this status must be requested annually. Upon approval of this petition, the Office of
Admission and Registrar will be notified to reduce your fees for the quarter(s) indicated.
Name:
(Last)
(First)
(Middle)
SAA User ID or UC ID
Program
Degree Objective: Masters
PhD
DPTsc
Current Address:
Email:
Telephone #:
Out of State Address:
Starting Term: Winter
Effective:
Year: ___________
Spring
Year: ___________
Fall
Year: ___________
Ending Term: Winter
Year: ___________
Spring
Year: ___________
Fall
Year: ___________
Please outline your reasons for study outside the State and please include a description of the work you plan to complete
during the period of absence. Include the name and number of research courses, if any, in which you plan to enroll.
Student Signature:____________________________ Date:__________
(For Graduate Division use)
Date:___________ Total Units:__________
Graduate Advisor: ____________________________ Date:__________
Advanced:_______________ GPA:______
International students must obtain approval from Services for International Students and Scholars
Quarter Effective:_____________________
SISS Director:________________________________ Date:___________
Approved:___________________________
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