VETERAN/DEPENDENT OUT OF STATE TUITION WAIVER PROGRAM
I, the undersigned, acknowledge the following:
My waiver of tuition will only be applied to eligible out of state fees; I understand a portion will still be owed.
FOR PALM BEACH STATE COLLEGE INTERNAL USE ONLY
Palm Beach State College shall waive allowable fees for each recipient who is eligible for a Veteran or Veteran Dependent where:
(a) Student does NOT have 3
attempt courses waived.
(b) Student has submitted appropriate documentation to the Registrar's Office.
i) Form DD-214.
ii) They have been honorably discharged.
iii) They physically reside in Florida.
(c) Student is entitled to and uses educational assistance provided by the United State Department of Veterans Affairs.
I am requesting a waiver for:
Name of Courses: List the course number and reference number
Course ID Reference Number
Signature (Registration Rep.)
Verified (FSS 1009.26):
Customer Number: 2317 Veteran (Out of State)
Registration Rep. Name (Printed)
Veteran (Out of State)
Veteran Dependent (Out of State)
Customer Number: 2495 Veteran Dependent (Out of State)