Learning Community Fee Waiver Application

*indicates a required field

First Name:*

Last Name:*

Email:*

Dragon ID:*

Major:*

Have you completed your housing application?* Yes No

If approved for a grant, I agree to:

Register for Learning Community classes in the fall and spring semesters

Initials*

Attend Learning Community Events

Initials*

Live in the Learning Community

Initials*

Please select any of the below populations you identify with: (Please check all that apply) I identify as a member of a historically underrepresented group (African American/Black, Hispanic/Latinx, American Indian/Alaskan Native, Asian Pacific Islander) I identify as LGBTQ+ I am an International Student I am Pell Grant Eligible or have other financial hardship that would otherwise prevent me from participating in a Learning Community I have a documented disability and am seeking accommodations from Accessibility Resources Other

Other:*