Southern University Law Center
Application Fee Waiver Request Form
The Southern University Law Center will waive a limited number of application fees. Waivers may be granted on the basis of
financial need. To be considered for a fee waiver, please (print) complete, sign and submit this form to the Admission &
Recruitment Department. Please follow the instructions carefully. Unfortunately, we are not able to consider incomplete
applications. An asterisk (*) indicates a required field.
Part 1: General Information
Name (First, Middle, Last)*
LSAC Account Number*
L
Address*
City*
State*
Zip*
Phone*
Email Address*
I Am Requesting A Need-Based Fee Waiver
If you have received a fee waiver from LSAC, please attach your fee waiver approval letter
and proceed to Part III. Otherwise, proceed to Part II.
Part II: Additional Information
(Complete only if requesting a need-based fee waiver and you have NOT been granted a fee waiver by L
SAC)
Marital Status
How Many Children Do You
Support?
What Are Their
Ages?
Are You Currently Enrolled in
College/ University?
Name of College/University
Yearly Tuition/Fees
Annual Financial Aid Received (Scholarships,
etc.)
Gross Earnings from all Sources for you and your spouse
during the last 12 months
Your Occupation:
Employer:
Annual Salary:
Spouse’s Name (First, Middle, Last)
Spouse’s Occupation:
Employer:
Annual Salary:
Total cash on hand or in the bank (You and
Spouse)
Present value of all stocks, bonds, automobiles, or other
property or financial interest:
Part III: Certification
I certify that the information provided in this form and the attached documentation is
complete and accurate to the best of my knowledge.
Applicant Signature*
Date*
EMAIL: admissio[email protected] FAX: (225) 771-2372
