Application Fee Waiver Request

I am applying as a:

*Common Application has its own criteria for a fee waiver. If you selected "Yes" to their fee waiver criteria in your Common App profile, you do not need to submit this form or use a code to complete your application. In the Bothell application, select "None" for the fee waiver question. This form should be used by anyone who does not meet the Common App fee waiver criteria and has a financial barrier to applying.

*This form should be used by anyone who is requesting a CollegeNet/ApplyWeb application fee waiver and has a financial barrier to applying.

First Name

Last Name

Birthdate

Email Address

Phone Number (Mobile)

Opt-In for Text Messaging:

Yes

No

Are you a veteran of U.S. Military Service, on active military duty or a member of the National Guard?

Yes

No

Are you an international student??

Yes

No

Please note: International students are not eligible to receive a fee waiver

Please explain why you are requesting a Fee Waiver (Please limit your explanation to 100 words or less):

UW Bothell Application Portal

Application Fee Waiver Request