Online form · Seniors

College Application Fee Request for Reimbursement

For seniors who paid a college application fee. Submit one request per application, with the receipt.

Limit: the Fund reimburses college application fees up to $500 per student in total. Submit one request per application, with the receipt.

Prefer paper? Download the PDF, print it and hand it to Nathan Kearns, Guidance Counselor at Barnesville High School.

Your request

Student name

Email address

We send your confirmation and reference number here.

College or university applied to

Application fee

The maximum cumulative reimbursement per student is $500.

Attachments

Attach the receipt or other proof that the fee was paid.

Receipt

A screenshot or PDF of the payment confirmation works. PDF, Word, JPG, PNG or HEIC, up to 15 MB each.

Sign and submit

I attest that all information provided herein is true, correct and complete.

Type your full name to sign

Typing your name here counts as your signature. The date and time of your submission are recorded with it.

Your answers and files travel over an encrypted connection and are stored encrypted. Only the Selection Committee and the guidance office can open them, and every access is logged.

College Application Fee Request for Reimbursement

Thank you. We received your fee reimbursement.