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Unformatted text preview: Request for Waiver of Course Materials Fee Name: _______________________________ Student ID: _________________________ E-mail: ______________________________ Phone: _____________________________ Year (circle): FR SO JR SR GR Quarter (circle): Fall Winter Spring Course: ______________________________ Instructor: __________________________ Describe why the fee should be waived. I certify that the above statements are true and that I am unable to pay the course materials fee.
_________________________________ _________________________________ Signature Date Complete and return to Room 108 Chemistry before the 20-day drop date for this quarter. ...
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