Fillable Instructions for Completing the Fee Reduction Request Form (Florida Gulf Coast University)

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Instructions for Completing the Fee Reduction Request Form (Florida Gulf Coast University)

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Instructions for Completing the
2019-20 GRE
®
Fee Reduction Request Form
ETS offers a limited number of GRE
®
Fee Reduction Vouchers on a first-come, first-served basis. Complete the form on
the next two pages if you are requesting a GRE fee reduction based on financial need or a GRE fee reduction for
individuals who are unemployed. If you are approved for a GRE fee reduction, you will receive a voucher to register for
the GRE
®
General Test and/or a GRE
®
Subject Test at 50 percent of the regular test fee.
Instructions for Requesting a GRE Fee Reduction Voucher
Step 1: Determine Which Materials to Send to ETS
If you are applying for a financial need-based GRE fee reduction for the first time, send a completed Fee
Reduction Request Form and a complete copy of your FAFSA Student Aid Report (SAR) showing your estimated
family contribution (EFC). If you are a resident alien, you also need to include a photocopy of your green card.
If you were approved by ETS for a financial need-based GRE fee reduction within the past calendar year,
you only need to send a completed Fee Reduction Request Form.
If you are unemployed and applying for a GRE fee reduction, send a completed Fee Reduction Request Form
and a photocopy of a weekly unemployment statement from the past 90 days.
Step 2: Send Materials to ETS
If you are paying with a credit/debit card: Do not include payment with your materials. Your materials can be
emailed or mailed to ETS.
o
E
mail: gre_voucher_requests@ets.org
o
Ma
il: ETS-GRE, PO Box 6000, Princeton, NJ 08541-6000, USA
GRE Fee Reduction Vouchers are sent to recipients via email within two weeks of ETS’s approval of the request.
Once you receive your voucher(s) for 50 percent of the test fee(s), you will be able to register for the GRE
General Test and/or a GRE Subject Test with a credit/debit card online in your ETS Account at
www.ets.org/mygre.
If you are paying by check or money order: Include your payment for 50 percent of the test fee(s) with your
materials. Mail all materials with your payment to: ETS-GRE, Box 382013, Pittsburgh, PA 15251-8013, USA.
GRE Fee Reduction Vouchers are sent to recipients via email within two weeks of ETS’s approval of the request.
Once you receive your voucher(s) for 100 percent of the test fee, you will be able to register for the GRE General
Test and/or a GRE Subject Test online in your ETS Account at www.ets.org/mygre.
Fee Reduction Program Policies
Vouchers are not retroactive, cannot be replaced if lost or stolen, and cannot be combined with other offers.
There are no refunds for unused vouchers and no refunds will be provided to test takers who are not admitted to
the test for any reason (including unacceptable identification).
Free Test Preparation
Individuals receiving a GRE Fee Reduction Voucher for the GRE General Test will also receive a voucher to
access the following priced test preparation services free of charge: (1) POWERPREP PLUS Online Practice Test
#1 (a $40 value), (2) POWERPREP PLUS Online Practice Test #2 (a $40 value), and (3) ScoreItNow! Online
Writing Practice (a $20 value). For more information about these services, visit www.ets.org/gre/prepare.
2019-20 GRE
®
Fee Reduction Request Form
Complete Questions 1-4.
1. Indicate whether you are a U.S. citizen or resident alien:
U.S.
citizen
Resident alien (Include a copy of your green card.)
2. Check the appropriate box(es) below to indicate the GRE fee reduction for which you are applying:
Applying for a financial need-based GRE fee reduction. Check one box below:
De
pendent senior with an estimated family contribution (EFC) of no more than $2,500
Self
-supporting senior with an EFC of no more than $3,000
Self
-supporting unenrolled college graduate with an EFC of no more than $3,000
Approved for a need-based GRE fee reduction within the past year and applying for a voucher to retest.
Indi
cate month/year you were previously approved:
_____________________
Applying for a GRE fee reduction for the unemployed.
Indi
cate the date you became unemployed (must be within the past six months):
_____________________
(Include a photocopy of a weekly unemployment statement from the past 90 days)
*Indicates a required field.
*ETS ID (8 characters): Your ETS ID is
located on the My GRE home page of your
ETS Account.
*First (Given) Name
(as on photo ID document; up to 24 characters):
Middle Initial
*Last (Family) Name
(as on photo ID document); up to 32 characters):
*Address Line 1 (up to 32 characters):
Address Line 2 (up to 32 characters):
*City
(up to 25 characters):
*State/Province/Territory:
*Postal Code
(up to 9 characters):
www.ets.org/gre/countrycode
*Primary Phone (Include Area Code):
Alternate Phone (Include Area Code):
*Date of Birth (MM-DD-YYYY):
*Gender (M/F):
*Email Address (up to 45 characters):
*Indicate the GRE test(s) for which you plan to register:
GRE General Test
GRE Subject Test
(continue to next page)
2
2019-20 GRE
®
Fee Reduction Request Form (continued)
3. Indicate how you will be paying 50 percent of the GRE test fee(s). (Fees and terms relating to fees and payment
are available at www.ets.org/gre/fees.)
Pay
ing with a credit/debit card during test registration.
Pay
ing with a check or money order (Complete the information below and enclose payment.)
AMOUNT
GRE General Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . US$102.50
$___________
GRE Subject Test . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . US$75 $
________
___
Total Amount Enclosed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
________
___
4. S
ign and date the form below.
I hereby agree to the conditions set forth in the 2019-20 GRE
®
Information Bulletin and on the GRE website,
specifically those concerning test administration, payment of fees, the reporting of scores and the confidentiality
of test questions. I certify that all information provided on this form is accurate and that I am the person who will
take the test at the center and whose name and address appear on this form.
Sig
nature:
__________________________________________________________________________
Date: ______________________________________
Copyright © 2019 by Educational Testing Service. All rights reserved.
ETS, the ETS logo and GRE are registered trademarks of Educational Testing Service (ETS) in the United States and other countries.
3
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Instructions for Completing the Fee Reduction Request Form (Florida Gulf Coast University)

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Completed 20 August 2020

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