College in the High School

Fee Waiver Request Form

A fee waiver is available for College in the High School (CHS) students that qualify. Eligible students can waive up to
two 5-credit CHS courses per year for a total of $440. To be eligible, students need to currently attend a high school
in the Everett Community College Service District (Snohomish County) and meet at least one of the criteria below.
Students must provide verification and the student’s name must appear on any documentation provided.

___ Student has been deemed eligible for free-reduced-price lunches (FRPL) for the current school year. Please
attach a copy of the school district FRPL verification letter.

___ Currently receiving any state or federal assistance funds.

Please attach a copy of the DSHS award letter verifying eligibility for TANF or Basic Food/EBT “Quest”
Card/SNAP benefits, Apple Health card and photo ID, HUD Housing Award letter, or Medical Identification
Card (medical coupon).

Fee waivers are good for one academic year and are not retroactive. Students must reapply for the waiver each
academic year that they are participating in CHS. This waiver does not affect any other dual credit program that a
student may be enrolled in at Everett Community College.

Provide the required documentation and request form to the CHS office by the deadline. Visit our CHS Dates and
Deadlines page at EverettCC.edu/CHS. Email the form and documentation to collegeinhs@everettcc.edu. Requests
without documentation will not be processed. Documentation without a signed request will not be processed. Late
requests will not be processed.

Class Information
Please indicate the year (ex. 2021-2022), semester, and amount that you are requesting for the waiver. The maximum
amount is $440 for the year.
Academic Year: __________________________________
Semester:
Fall semester (or year long) amount: ______

Spring semester amount: ______

Student Information
First Name: ________________________________________ Last Name: ____________________________________

EvCC ctcLink ID: _______________________ High School: _______________________________________________

Email: ____________________________________________________________________________________________

Student Signature: ___________________________________________________ Date: ________________________

For Office Use only: Initials: ________________________ Date: ____________________

Everett Community College does not discriminate based on, but not limited to, race, color, national origin, citizenship, ethnicity, language, culture, age, sex, gender identity or expression,
sexual orientation, pregnancy or parental status, marital status, actual or perceived disability, use of service animal, economic status, military or veteran status, spirituality or religion, or
genetic information.