Fillable Legacy Tuition Waiver Form (Wichita State University)

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Legacy Tuition Waiver Form (Wichita State University)

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The Legacy Tuition Waiver Form (Wichita State University) form is 2 pages long and contains:

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File type: PDF

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Legacy Tuition Waiver Form
Wichita State University will provide resident tuition to a non-resident student who meets the following
qualifications:
• Non-resident student paying non-resident tuition rates whose parent, step-parent, legal guardian,
grandparent or step-grandparent graduated from WSU with an associate, bachelor, master, or doctoral
degree
• Student has been admitted to WSU
• Submit this Legacy Tuition Waiver Form to the Registrar's Office with supporting documentation
• Waivers will be applied within the current academic year
Application Instructions
This application must be completed by a non-resident student who has been admitted to Wichita State
University. The non-resident to resident rate tuition waiver will be approved when all information has been
verified. Once the review has been completed, the waiver will be applied to the student's account. The
student must be classified as a non-resident student who pays non-resident tuition rates to receive this
waiver. Complete the form and return to the Registrar's Office in Jardine Hall room 102, by mail to 1845
Fairmount, Box 58, Wichita, KS 67260, by email to student.verification@wichita.edu, or by fax to (316) 978-
3795.
Student Information
First Name_______________________________________________________________
Middle Initial _____________________________________________________________
Last Name _______________________________________________________________
myWSU ID Number________________________________________________________
Date of Birth (MM/DD/YYYY) ________________________________________________
State of Residence ________________________________________________________
Country of Residence ______________________________________________________
Alumni Information
First Name_______________________________________________________________
Middle Initial _____________________________________________________________
Revised 05/2020
Last Name _______________________________________________________________
Last 4 Digits of Social Security No. (for internal verification purposes) ________________
Degree(s) Earned _________________________________________________________
Graduation Month/Year ____________________________________________________
Relationship to Student ____________________________________________________
Required Documents
Please provide a copy of one of the following documents with this form to determine relationship:
Birth Certificate ☐
Marriage License ☐
Tax Return ☐
Other International Document – please specify ☐ _______________________________
Student Certification, Agreement and Signature
I certify that the information provided in this application is true, accurate and complete without
misrepresentation. I understand that if this information is found to be false or misleading, this fact alone is
sufficient cause for my being denied partial tuition waivers by the Legacy plan now and in the future. In
consideration of the University’s provision of any partial tuition waiver to me, I agree to repay as a lawful debt
owed to Wichita State University any tuition that is waived based on false or misleading information I provide.
Applicant’s signature ______________________________________________________
Date____________________________________________________________________
For Registrar’s Office Use Only
Date Received ____________________________________________________________
Date Approved ___________________________________________________________
For Accounts Receivable Office Use Only
Date Received ____________________________________________________________
Date Approved ___________________________________________________________
Revised 05/2020
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Legacy Tuition Waiver Form (Wichita State University)

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Completed 25 July 2020

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