19MFCTW 1/11/2019
WARNING: If you purposely give false or misleading information on this worksheet, you may be fined, be sentenced to jail, or both.
Student Name: _________________________________________ HCC ID ____________________
In order to be eligible for the MD TUITION WAIVER FOR FOSTER CARE RECIPIENTS, your name must be
on the Department of Human Resources (DHR) list of eligible foster care students that is sent to public
colleges and universities in January and July, which verifies that you meet one of the criteria listed below.
Please select the set of circumstances listed below that applies to your situation:
A. Resided in an out of home placement in Maryland at the time you graduated
from high school or successfully completed a general equivalency development
examination (GED);
Yes
No
B. Resided in an out of home placement in Maryland at the time of your 18
th
birthday; or
Yes
No
C. Resided in an out of home placement on your 13th birthday, and was placed
into guardianship or adopted out of an out of home placement after your 13th
birthday; or
Yes
No
D. Resided in an out-of-home placement in the State for at least 1 year on or after
your 13th birthday and returned to live with their parents after the out-of-home
placement ended.
Yes
No
E. You are the younger sibling of a person who meets the qualifications stated in
either A, B or C above and was placed into guardianship or adopted
concurrently out of an out of home placement by the same guardianship or
adoptive family.
Yes
No
Student Signature: __________________________________________ Date: ___________________
The Maryland Tuition Waiver for Foster Care Recipients is available to foster care youth who have completed the
FAFSA, are under 25 years old, are enrolled in a vocational certificate program or as a degree-seeking student,
and are meeting the Satisfactory Academic Progress standards at a Maryland Public institution of higher
education. The purpose of Tuition Waiver for Foster Care Recipients is to provide financial assistance to foster
care youth.
You may be exempt from paying tuition and mandatory fees at HCC. The tuition waiver only applies
to tuition and fees. The tuition waiver does not apply to room and board, books, or other expenses
incurred as part of the overall cost of attendance.
Student Financial Aid Office
11400 Robinwood Drive
Hagerstown, MD 21742
2019-2020
Foster Care
Tuition Waiver Form
Student Financial Aid Office
11400 Robinwood Drive
Hagerstown, MD 21742
Phone: 240-500-2473
finaid@hagerstowncc.edu
FAX: 301-791-9165