Long Island University

Application Fee Waiver Request
Long Island University applications include a $50 non-refundable application fee. Applicants who demonstrate financial hardship may request a fee waiver. Fee Waivers are considered on a case-by-case basis.

Campus

First Name

Middle Name

Last Name

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Mobile Phone

Address

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State

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Signature of Applicant

Date

Reason For Request: Please provide a brief statement outlining the reason for your request.

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