CSU Application Fee Waiver Appeal Form

     

    SIGNIFICANT CHANGE IN FINANCIAL CIRCUMSTANCES

    If your financial situation, or that of your family’s, has significantly changed from 2019, you may request to have your eligibility for an admission applicant fee waiver re-evaluated. To initiate the review process, please complete this form and attach a personal statement detailing the change in income & circumstances. In addition to the personal statement, please provide a copy of a recent pay stub if available, which includes year-to-date earnings. Include other documents as appropriate to support your request.

    Birthdate
    Birthdate
    Mailing Address
    Mailing Address
    Person(s) impacted by change (check all that apply)
    Person(s) impacted by change (check all that apply)
    If you are eligible for one of the following application fee waivers, please check the box below and attach the appropriate documentation.
    If you are eligible for one of the following application fee waivers, please check the box below and attach the appropriate documentation.
    Upload copy of Alan Pettee, California Veteran Dependents, or Dependent of

    To help support your appeal we are asking that you supply supporting documentation such as recent paystubs showing decreased pay, unemployment documentation, or other similar forms of documentation. You can submit these sensitive documents by email by sending them to apply@humboldt.edu.
    I certify that the Information provided on this form and attached documentation is true, complete, and accurate.
    I certify that the Information provided on this form and attached documentation is true, complete, and accurate.