Fillable 2020-2021 Running Start Fee Waiver & 50% off (Grays Harbor College)

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2020-2021 Running Start Fee Waiver & 50% off (Grays Harbor College)

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Updated 9/2020
2020-2021 Running Start Fee Waiver & 50% off Book Scholarship
Name: ________________________________________ SID______________________
Student Fee Waiver:
A student shall be considered eligible for a fee waiver and 50% off book scholarship by qualifying for any ONE
of the following: (please mark and provide supporting documentation).
Student has been deemed eligible for free or reduced-price lunches in the last five years:
School counselor or representative initials the FRPL status box on the enrollment verification form,
or eligibility review sheet/letter signed by high school deeming the student eligible within the last
five years (Skyward meal status printout is acceptable documentation).
Family income of equal or less than 50% of Washington median income OR less than 200% of the
federal poverty level. See table below. (Copy of family income tax form within last 2 years.)
Size of
family
unit
50% of WA
Median income
(monthly)
200%
of Federal
poverty level
(annual)
Size of
family
unit
50% of WA
Median income
(monthly)
200%
of Federal
poverty level
(annual)
1
$2008
$25,520
5
$4480
$61,360
2
$2626
$34,480
6
$5098
$70,320
3
$3244
$43,440
7
$5214
$79,280
4
$3862
$52,400
8
$5330
$88,240
Receiving any state or federal assistance funds (copy of document)
Foster Youth (letter from caseworker)
Students who have had a recent change in financial circumstance should see the Running Start Coordinator for
possible eligibility.
Student Signature:_____________________________________ Date:_________________
Running Start Coordinator:______________________________ Date:_________________
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2020-2021 Running Start Fee Waiver & 50% off (Grays Harbor College)

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Completed 4 February 2021

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