Waiver Prepayment Post-Secondary Enrollment: IHCD-E2

School District 27J
18551 E. 160th Ave.
Brighton, CO 80601
APPLICATION FOR WAIVER FROM PRE-PAYMENT OF TUITION
TO PARTICIPATE IN POSTSECONDARY ENROLLMENT OPTIONS PROGRAM

(Due to your high school counselor by November 30th for spring semester classes, and by May 5th for fall semester classes)

This APPLICATION FOR WAIVER is made by the undersigned parent and/or guardian (“Parent”) of ____________________________________ (“Student”) and is made by Parent and Student on Student’s behalf, in favor of School District 27J.

1. We understand that under the Postsecondary Enrollment Options Act, C.R.S. §§ 22-35-101 et seq. students who are financially unable to pay the tuition to a postsecondary institution may apply for a waiver.

2. We understand that Student may not receive a waiver if Student is only receiving high school credit for the postsecondary course(s).

3. We understand that our request for a waiver may be denied if Student has failed to demonstrate to the satisfaction of School District 27J the responsibility and commitment necessary to successfully complete the postsecondary course(s).

4. We are applying for a waiver from pre-payment of tuition because we are financially unable to pre-pay the tuition to enroll Student in postsecondary course(s) for participation in the Postsecondary Options Program

We have read, understand, and agree to the above statements concerning this Waiver from Pre-payment of Tuition

Student Signature ______________________________________________ Date ___________________

Parent Signature _______________________________________________ Date ___________________

FOR OFFICIAL USE ONLY

________Approved for Waiver

________ Not Approved for Waiver from pre-payment of tuition. from pre-payment of tuition.

Principal Signature ________________________________ Date ____________________

Rev: 9/10/10