FORDHAM UNIVERSITY

Tuition and Fee Variance/Waiver Form

This form requests Provost Office and Finance approval for a fee variance from the Board approved fee rate or for new fees for new programs/ courses.

Name: / Academic Year:
Date: / Academic Unit:
Tuition Variance Fee Variance
Other:______
Exchange Student Student ID: ______

SELECT PROGRAM

Degree
Non Degree / Bachelor Master JD PhD
Certificate Workshop Other
Name of Program:

TUITION/FEE VARIANCE

Academic / Approved / Requested / Variance
FY / $ / $ / $

DEAN JUSTIFICATION FOR TUITION/FEE VARIANCE

OTHER

______Date: ______

Dean Signature

APPROVAL

Provost Office: / Date:
Finance: / Date:
FOAP
(where revenue should be credited)
FOAP
(where revenue should be debited)

For exchange students, the student named above should be assigned the attribute AUEX in the BANNER form SGASADD.

Once completed the form, please send it to the Provost Office, Cunniffe House room 226. Direct waivers for international students and programs to David Heston and all others to Paul Reis. If you have any questions, please contact Paul Reis at ext.3042.

February 2015