Senior Citizen Tuition Waiver Request
Tuition is waived for Louisiana residents 60 years and over for one three-credit-hour course each semester/session (no auditing or non-credit). Eligible students must provide a valid state issued ID and have met the age requirements by the first day of the semester or term.
Semester/Year
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Student Name
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First Name
Last Name
Student LOLA ID:
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Student Email:
*
example@my.fletcher.edu
Waiver Type
Birthday Date
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-
Month
-
Day
Year
Date
Age
*
Copy of Valid State Issued ID:
*
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Additional Comments (Optional):
Student Certification
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I hereby certify that I will be 60 years of age or older by the first day of the semester or term requested above.
I understand that the tuition waiver is for a maximum of three (3) credit hours of Tuition only and does not cover legislatively mandated feeds, board authorized fees, student or school imposed fees, or any other charges.
Third Party FERPA Disclosure
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I authorize Fletcher Technical Community College to release necessary financial and educational information, in the manner requested, to the State, Local, or Federal Agency for the purposed of certifying my eligibility.
Terms and Conditions:
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I understand that if it is later determined that I do not meet the eligibility requirements, the waiver may be removed from my account and I will be required to pay the full amount due by the published or assigned due date(s).
I promise to pay for all fees not covered by this waiver by the published or assigned due date(s). In the event the student becomes delinquent in paying charges or defaults in repaying charges, the debts may be transferred to the State of Louisiana Attorney General’s Office, the Louisiana Office of Debt Recovery, or another external agency for collection. All collection fees incurred shall be at the expense of the student which may be based on a percentage at a maximum of 33 1/3%. If Fletcher prevails in a law suit to collect on the student’s financial obligation, the student will be responsible to pay Fletcher's court costs, collection fees and attorney’s fees in an amount the court finds to be reasonable.
Signature
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Type Name:
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Date
*
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Month
-
Day
Year
Date
Submit
Should be Empty: