Credential Assembly Service (CAS) Fee Waiver Application Form
Apply for a CAS fee waiver. Complete the form to be considered for eligibility. All information is required for review.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Current Academic Status
*
Please Select
Undergraduate Student
Graduate Student
Recent Graduate
Other
Institution Name
*
Country of Residence
*
Please Select
United States
Canada
United Kingdom
India
China
Other
Primary Reason for Requesting Fee Waiver
*
Financial Hardship
Low-Income Background
Unemployment
Other
Briefly describe your circumstances supporting this request
*
How did you hear about the CAS fee waiver?
Please Select
University Website
Advisor or Faculty
Friend or Peer
Social Media
Other
Submit Application
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