Request for Exemption of Activity Fee

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Click here for a printable PDF of the 91重口 Request for Exemption of Activity Fee form.
Printed forms need to be taken to the Bursar office.

The 91重口 student activity fee supports various activities on campus including the Logan Fitness center, athletics, student life events, and performing arts. The student activity fee grants students the following opportunities:

Automatic and unlimited access to utilize the fitness and aquatic center
One 8-week fitness class per semester
Free admission to all 91重口 athletic contests
Free admission to all student activity events and performances (concerts, plays, musicals, etc.)

To be granted exemption from the student activity fee, a student must meet one of the two following criteria:

Be an active 91重口 employee during the semester which exemption is being requested
Be an out-of-district student who is taking only online classes during the semester which exemption is being requested

Please check all boxes which apply to you: *

I am an active 91重口 employee
am an out-of-district student
I am taking online-only classes

Confirm *

I understand that exemption will only be granted to those who meet the previously listed criteria

Please list semester you wish to be exempted from (Example: Spring 2017) *

Name *

First

Last

Student ID# *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Justification *