Application for Enrollment Deposit Waiver Form

The purpose of this form is to apply for a waiver of the enrollment deposit. Students who have been granted on-campus housing must pay the applicable housing deposit. Request for a waiver of the enrollment deposit will be evaluated on a case-by-case basis and considered for those with economic hardship.

Name and Contact Information

Student First Name

Student Last Name

Salem State University Student ID

Semester admitted

Year

Student Phone

Mailing Address

City

State or Province

Zip/Postal Code

Student Email

Please explain your circumstances that make a waiver of the enrollment deposit necessary.

Date