Application Form Fee Waiver - Texas State
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1
2Office of Undergraduate Admissions – Applica on Fee Waiver Request
Student Name (print)
Texas State ID Number
Student Signature
Date
In an effort to assist students in the pursuit of their educa on goals, the Office of Undergraduate Admissions has
established the following standards for applica on fee waivers. Applica on fee waivers are subject to the approval of the
Office of Undergraduate Admissions and are granted based on evidence of financial need. An applicant must be a United
States ci zen, permanent resident, or a student iden fied under Senate Bill 1528. Choose one of the fee waiver request
op ons below, then complete and submit this form and any necessary documenta on to our office via:
E-mail: processing@txstate.edu, subject line “Fee Waiver”
Fax: 512.245.9020
or Mail: Texas State University, Office of Undergraduate Admissions,
429 N. Guadalupe St., San Marcos, TX 78666
OPTION 1 (Select one method of documenta on):
A le er from a TRIO program counselor verifying your par cipa on in a TRIO program (e.g., Upward Bound or Talent
Search) and documenta on that you meet low income criteria as iden
ed by federal TRIO program guidelines; or
Official documenta on that you live in subsidized public housing, foster home or are homeless; or
Official documenta on that your family receives public assistance – TANF (Temporary Assistance for Needy
Families); or
A copy of your financial aid transcript from the last college you a
nded (or are currently a
nding) indicating full
Pell Grant eligibility; or
Your FAFSA, or TAFSA, Student Aid Report (SAR) indica ng a zero Es mated Family Contribu on (EFC); or
A le er from a caseworker that iden fies you as a ward of the state or orphan.
OPTION 2 (Select one method of documenta on):
A copy of your approved applica on for free and reduced lunch; or
An original SAT, ACT, or NACAC fee waiver and a copy of page 1 of the appropriate income tax form for the semester
you are seeking admission. These forms must reflect your total family income at or below the economic index for
free/reduced lunch eligibility requirements.
Spring 2015
2012 Income Tax form
Summer 2015
2012 Income Tax form
Fall 2015
2013 Income Tax form
OPTION 3:
I am unable to submit one of the items listed above and will instead fill out Page 2 of this Applica on Fee Waiver
Request form.
Before submi ng your Applica on Fee Waiver Request make sure you have:
o Completed the top por on of this page.
o Selected a waiver request op on and your chosen method of documenta on.
o Included copies of the appropriate documenta on based on your selec on and included the student’s full name and
birthdate on all pages.
o Completed page 2 (if you chose the last waiver request op on).
o Kept a copy of this form and documenta on for your records.
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