Eligibility Criteria

1. Admitted to the W. P. Carey School of Business.

2. Have demonstrated financial need. Free Application for Federal Student Aid (FAFSA) must be on
file with the ASU Financial Assistance Office.
3. Sign this form. Do not type your signature or this will delay processing.
4. Please submit form by email to campcarey@asu.edu or fax to (480) 965.8883. Please allow one
week for processing.

Personal Information (Please type all information)
Last, First, Middle
Name:
Affiliate ID:

Email Address:

Local Address: (include apartment number if
applicable)

City, State, Zip:

Local Phone: (include area
code)
( )

Academic Information (Please type all information)
Major 1 Major 2
Minor / Certificate Date youd like to attend Camp Carey
Fall 2014 Credit Hours

Employment Information
Are you currently employed? Y N If Yes, where?
# of Hours per Week: Less than 20 20 hours 21 - 40 hours 40 or more hours

Please provide an explanation as to why you are seeking a Camp Carey waiver



TERMS OF AGREEMENT AND CONSENT TO RELEASE

I give permission for ASU or the W. P. Carey School of Business to
disclose to any review committee the information provided in
connection with this waiver form for the purpose of the review of my
application. This may include information from my educational
records, such as my transcript and financial aid information.

I understand that if any information that I provide or that is provided
on my behalf is false or misleading, I will not be eligible for any
award, and that any amount awarded to me will be revoked and I
will need to return any amounts paid to me.


____________________________________________________
Signature Date

FOR COMMITTEE USE ONLY


Registered fall 2014

Award Amount $

FAFSA Need $_____________________________


Approval ______________________________


If you have any questions relating to this form, please email: campcarey@asu.edu

W. P. Carey School of Business
Camp Carey Waiver Request - 2014