Form Instructions

Please follow the listed steps below to complete and submit the available forms.
  1. Complete the requested form information, date and type your full name as your signature and click 'Email Form to Admissions' button at the bottom of the form.
    Note: Required field titles are in red.
  2. Repeat above step until submission is accepted with no validation prompts.
 
Contact Information
*Enter as xxx-xxx-xxxx
7 Digit Student ID Required
Senior Citizen Waiver Form (For Credit)
Under the Senior Citizens Higher Education Act of 1974 Code of Virginia 23-38.54-60, Senior citizens may apply for free tuition. Senior citizens may enroll in no more than 3 courses per semester on a space-available basis. Senior citizens may not enroll in a class unless there are available seats. Senior citizens may not enroll in a class until one week prior to the start of the session. Germanna shall determine whether or not it has the ability to offer a class. Senior Waiver students may not enroll in more than three courses per semester.

Guidelines for Eligibility
For CREDIT courses, a person must meet the following criteria:
  1. Be admitted to the college as a student.
  2. Be 60 years of age or older before the semester begins.
  3. Be domiciled in Virginia for at least 1 year prior to the first day of classes.
  4. Provide documentation proving taxable income for previous year does not exceed $23,850.
Course Number Course Subject-Section Session Credits
Typed Signature is Required Student Signature Date Required