Request for Transfer Admission
Application Fee Waiver
STUDENT: Print or type the information requested below. You must personally sign the Certification Statement.
To: Office of Admission at:
Eligible for Pell Grant
Applicants who are eligible for a Pell Grant (what is a
Pell grant?) are eligible to receive a transfer admission
application fee waiver. Please sign below to attest to your
eligibility to receive a Pell grant. (Continue to Certification
Statement)
Ineligible for Pell Grant
Applicants who are not eligible for a Pell Grant but meet
one of the following indicators of financial need should
self-certify their eligibility for the admission application
fee waiver below.
qCheck here if your annual family income falls
within the Eligibility Guidelines set by the USDA Food
and Nutrition Service (To view USDA Income Eligibility
Guidelines for the Free or Reduced Price Lunch
Program or review FAQs related to this form visit
http://bit.ly/NACACfeewaiver). OR
qCheck here if you are enrolled in a federal, state,
or local program that aids students from low income
families (e.g. TRIO programs such as Upward Bound).
If the institution to which you are applying requires additional documentation, please see page 2.
CERTIFICATION STATEMENT: I certify that I understand and meet the eligibilty requirements to request an admission appliction fee waiver.
STUDENT’S NAME STUDENT’S SIGNATURE
STUDENT’S ADDRESS CITY STATE ZIP
Eligible for Pell Grant
If the institution to which you are applying requires
verification of your eligibility for a Pell grant, you can
utilize either of the following options for documentation.
OPTION 1
Provide a copy of your most recent Student Aid
Report (SAR) from the US Department of Education.
Your Student Aid Report (SAR) is a paper or electronic
document that gives you some basic information about
your eligibility for federal student aid as well as listing
your answers to the questions on your FAFSA.
If you cannot locate your SAR, you can retrieve one from
the US Department of Education’s Office of Federal
Student Aid (FSA). Your SAR can be downloaded at
(https://fafsa.ed.gov/)
OPTION 2
Attestation from a financial aid officer or other officer
of your current or most recently-attended institution of
higher education.
AUTHORIZED OFFICIAL’S NAME
AUTHORIZED OFFICIAL’S SIGNATURE
AUTHORIZED OFFICIAL’S TITLE
AUTHORIZED OFFICIAL’S EMAIL ADDRESS AND PHONE NUMBER
NAME OF EDUCATIONAL INSTITUTION
Ineligible for Pell Grant
If you indicated you are ineligible for a Pell Grant, but
self-certified that you meet one of the other criteria for
economic need (with an annual family income within the
income Eligibility Guidelines set by the USDA Food and
Nutrition Service OR enrolled in a federal, state, or local
program that aids students from low income families),
please contact the admission office at the college or
university to which you are applying when additional
documentation is required.
Additional Documentation Required
Request for Transfer Admission Application Fee Waiver continued...