SENIOR CITIZEN
TUITION FEE WAIVER FORM
OFFICE OF THE REGISTRAR
11000 University Parkway,
Bldg 18
Pensacola, FL 32514
Telephone: 850.474.2244 Fax: 850.473.7345
registrar@uwf.edu
Registered senior citizens utilizing this tuition fee waiver are subject to all the academic policies and procedures as stated in the University Catalog.
UWF ID Number: Name:
First Middle Initial Last
Home Address: City: State: Zip Code:
Daytime Phone Number: Date of Birth: Email Address:
Registration Information: Year_____ Semester: Fall Spring Summer Total number of credit hours: ______
(REQUIRED)
Subject Course Number Course Title
Credit
Hours
I acknowledge and understand the following limitations:
I must be sixty (60) years old or older.
I must be classified as a Florida Resident.
I may only request up to six (6) credit hours per semester.
Enrollment is based on a space-availability and capacity overrides into closed sections are not permitted.
Courses taken under the Senior Citizen Tuition Fee Waiver cannot be counted for credit or graded towards a degree (Audit Basis).
I am responsible for a $10 Nautilus Card Activation Fee and any fees not covered by the Senior Citizen Tuition Fee Waiver (Online Fee,
Transportation Access Fee, Material & Supply Fee, Equipment Fee, and Lab Fee).
I must turn in my Senior Citizen Tuition Fee Waiver Form after course registration (during the drop/add period).
I may register for course(s) during the designated Senior Waiver registration period. If I register prior to this period, I assume financial
responsibility for the course(s). Senior Waiver registration dates may be found at
https://uwf.edu/offices/registrar/tuition--fees/senior-
citizen-tuition-waiver/.
I have read and acknowledge the Senior Citizen Tuition Fee Waiver policy found at https://uwf.edu/offices/registrar/tuition--fees/senior-
citizen-tuition-waiver/.
Senior Citizen Student Signature:
Date:
In accordance with FS 1009.26 (4)
DATE RECEIVED: DATE PROCESSED: PROCESSED BY: FORWARD CASHIER:
Rev. 6/18/2019
