Application Fee Waiver Request

Staff or Faculty Application Fee Waiver

First Name

Last Name

Personal Email Address

Mobile Phone Number

TTU / TTUHSC Information

Staff/Faculty R#

System Email

I certify that I am a full-time staff or faculty member of

TTU

TTUHSC

TTUHSC - SHP - Faculty

TTUHSC - SHP - Staff

Signature

I certify that the above information is correct and understand that falsification of any of the above information will void my admission.

In place of your signature, please type your full legal name:

Date