Course Fee Financial Hardship Waiver Application

About this form

Students must submit the Course Fee Financial Hardship Waiver Application every semester, for the specific applicable course fee(s), for consideration. Students with demonstrated financial hardships may qualify for a hardship waiver to be applied to the course fee(s).

Please see the Course Fee Financial Hardship Waiver Policy for the criteria a student must meet in order to apply.

For questions, please contact the Financial Aid Office via faid@brockport.edu.
Student Name Student Name First Last
Banner Student ID
Must be 9 digits. Currently Entered: 3 digits.
SUNY Brockport Email
What semester are you applying for course fee financial hardship waiver?
Have you applied for all (state and federal) financial aid and accepted all financial aid for which you qualify (not including the federal Parent PLUS loan)?

Have you applied for all (state and federal) financial aid and accepted all financial aid for which you qualify (not including the federal Parent PLUS loan)? Yes, I have applied for and accepted both the state and federal financial aid offered to me. No, I have not applied for and accepted both the state and federal financial aid offered to me.
What is your major as listed in Degreeworks?

Follow these steps to access Degree Works:
Log into Web Banner and then select “Student Services” > “Student Records” > “Degree Audit” > “Submit an Audit.”
List the course(s) for which you are applying for a course fee financial hardship waiver.
For example: ART 101

Requested course(s) must be required for your accepted program of study (i.e. not an elective).
Check the box to indicate you have read the statement:

Check the box to indicate you have read the statement: I attest that the fee(s) I am requesting are required as part of my academic program of study.
Thank you for your interest, but you do not qualify for a course fee financial hardship waiver at this time.
The information you have provided will be verified by staff in several student service offices.

Falsified information on this document will result in the rejection of your application.

Course Fee Financial Hardship Waiver Application

About this form

Thank you for your interest, but you do not qualify for a course fee financial hardship waiver at this time.

The information you have provided will be verified by staff in several student service offices.