Concurrent Enrollment Fees and Books Waiver

Concurrent Enrollment Fees and Books Waiver

Student Name*

Student ID*

Student Phone Number*

Phone

Student Email Address*

Student Street Address*

Free and Reduced*

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If willing, please describe the financial hardship

Reimburse or Purchase*

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Upload your Bill, Receipt or Book information*

When uploading a BILL, use this version with full name visible.

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High School Attend*

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