Please fill out the following information and click the submit button. "*" indicates mandatory fields.

ATTENTION: All students are expected to pay the Administrative Fee if they are
taking courses to earn a degree. To receive a Waiver you will need to prove financial
hardship. If you choose to not pay the fee you can submit a Monitoring Only form
and take the courses for free but not for credit toward a degree.

Thank you,
Dr. Van

*Your name exactly as it is on your Application form.
User Name (If you are registered with the SLBC Moodle site.)
(If you are not registered with the SLBC Moodle site, please leave the User Name field blank.)

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Why do you want a Fee Waiver?

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*What Is Your Monthly Income in US Dollars?
*What is the amount of your Monthly Expenses in US Dollars?
*What Are Your Source(s) of Income? (separate multiple entries with comma and 1 space)
*Regular Courses or Video Courses
Regular Courses
Video Courses