Office of Financial Aid
201 Community College Drive
Baton Rouge, LA 70806
225-216-8000
225-216-8010 (Fax)
2016-2017 Tuition Hardship Waiver Request Form
Student Information
Name ____________________________________________________ Student ID# _________________________________________________
Mailing Address: (P.O. Box): _______________________________________________________________________________________________
City: ______________________________________________State: _____________________________________Zip: _______________________
Home Phone: (_____)__________________________________Cell Phone: (_____)___________________________________________________
The purpose of this document is to apply for a tuition/fee hardship waiver on tuition/fee increases in accordance with specified
legislation. Applications should be submitted to the Office of Financial Aid & Scholarships by the following deadlines:
Fall-July 15th
Spring-December 15th
Summer-May 15th
Criteria for Eligibility
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Louisiana resident
Filed a Free Application for Federal Student Aid (FAFSA)
Have extenuating circumstances that prohibit the payment of the tuition and fee increase
Must not be eligible for other tuition or fee exemption programs
Must exhaust all financial aid resources available
Must be meeting BRCC Satisfactory Academic Progress Policy
Sign This Worksheet
Student Signature_____________________________________________________________________________Date___________________________________________
For Committee Use Only
___ Approved
___ Denied
Committee Member Signature
Date
Committee Member Signature
Date
Committee Member Signature
Date
Committee Member Signature
Date