International Waiver

APPLICATION FOR OUT-OF-STATE TUITION DIFFERENTIAL WAIVER

NOTE: This waiver is valid for one academic year. Partial year awards are based on availability. Completion of the application does not guarantee the award of a waiver. Please apply early for best consideration. For more information, review the requirements on the ASU Registrar’s website or call 229-500-4358.

Ram ID

First Name

Last Name

Address

City

State

Zip

Student Email

Phone Number

Phone

Term applying for waiver:

Please note that this waiver is valid for one academic year. You will need to reapply at the end of Summer.

Current Major

Are you interested in Living on campus?

GPA

Classification

In 300 words or less, please describe why you want this waiver, what you can bring to Albany State as an International Student, and how Albany State can help you succeed.

Signature

By typing my name below, I understand that any material false statement made knowingly and willingly by me on this application, or any documents attached hereto may, in accordance with O.C.G.A. 16-10-71, which provides that upon conviction, a person who knowingly commits the offense of false swearing shall be punished by a fine of not more than $1,000 or by imprisonment for not less than one nor more than five years, or both, subject me to prosecution in a court of law. Additionally, I further understand that any such false statement may subject me to immediate dismissal from the institution.

Further, I certify that, to the best of my knowledge, the information submitted on this application is true and complete.

Today's Date

File Upload

ALL STUDENTS MUST PROVIDE THE FOLLOWING:

Completed application

Essay

Proof of lawful presence.

LAWFUL PRESENCE IN THE UNITED STATES

In addition to the above waiver-specific documentation requirements, students must be verified to be lawfully present in the United States before an out-of-state tuition waiver may be awarded.

NOTE: Additional documentation may be requested to determine waiver eligibility.

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