CERTIFICATION OF ACTIVE MILITARY STATUS
AND REQUEST FOR ADMISSION APPLICATION FEE WAIVER
Military Personnel Name:
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Undergraduate Major:
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Institution:
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Date of Last Active Service
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UW-Whitewater waives graduate admission fees for all military personnel who have been on active duty within three
years of their application to a UW-Whitewater graduate program. The student named above requests an admission
application fee waiver. My signature below certifies that I have reviewed the applicant’s DD214 form and certify that the
above named student has been on active duty within the last three years.
Active service is defined as either
 90 days of qualified wartime experience, excluding training or
 90 days deployed in service with the national guard or reserves, excluding training.
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Please Print Name and Title of Campus Official
______________________________
Official’s Signature
______________________________
Official’s Phone Number
______________________________
Official’s Email