Senior Citizen Fee Waiver - West Chester University
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1Office of the University Registrar
WCU ID#
25 University Avenue, West Chester, PA 19383
Required
Ph: 610-436-3541
Fx: 610-436-2370
registrar@wcupa.edu
SENIOR CITIZEN FEE WAIVER
Instructions:
Please return this form with the Senior Citizen Course Enrollment & Optional Audit form.
The Board of Trustees at West Chester University has approved a waiver of tuition and all auxiliary fees
for senior citizens enrolling in classes on a space-available basis. The Board stipulates that a person
applying for the fee waiver must be sixty years of age or older, retired, and a resident of Pennsylvania
for at least a year.
Student Name: ___________________________________________________________ Phone: _________________________________
Address: ______________________________________________________________________________________________________________
Term: Fall __________
Winter __________
Spring _____________ Summer ____________________
(Year)
(Year)
(Year)
(Year & Session)
Please confirm with your initials:
I am sixty years of age or older _____________
I am a resident of Pennsylvania _____________
I am retired from an occupation ____________
I certify that all information on this form is true and correct.
Student Signature: ________________________________________
Date: ___________
This form must be filed with the Registrar’s office each term you are taking a course through the
program. If at any time your retirement or residency status changes you must notify the Registrar’s
Office.
Office Use Only
Processed by: ______________________________________________ Date: ______________________________
8/29/16
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