Waiver Request Form

Tuition Free Course Waiver Request Form

As a benefit for the class of 2021 and 2022, Lane is offering one tuition-free course for either spring or summer.
You will be required to pay 100% of fees, supplies, and textbook costs in your myLane. This form and all other registration requirements are required to be filled out by the first day of your chosen term. Please contact Brenda Williams, Early College Advisor, with any questions. williamsb@lanecc.edu 

Please keep a copy of this form for your records.

Please do not enter in a nickname into this field
Capital L followed by 8 numbers
The tuition-free discount is only for the class of 2021 and class of 2022
If you change your mind about which term you want later on, please submit a new form by the first day of the term

Optional FERPA Release

Sharing of student information between school district staff, a parent, and Lane Community College staff requires a release of student record information, which is covered by the Federal Educational Rights and Privacy Act (FERPA). If you choose to release your information, it will be in effect for the entire term you receive the tuition-free course. 

Please note that giving a parent a FERPA release is only allowed with the HS Connection advisor, the Registrar, and Bursar Office. A parent contacting another department on campus will not have FERPA rights.

We will only release Admission Requirements, placement testing results, course suggestions, and financial information to parents. We will not release registration information, final grades or class schedules.

You are responsible for understanding your rights, responsibilities, and conditions of this one tuition-free course. View your myLane account and my.lanecc.edu email frequently. By submitting this form, I understand the following:

  1. I know I am responsible to pay for at least $200 in fees, textbooks and supplies associated with this one tuition-free course.
  2. If I drop my spring term class after week 2, I cannot receive a tuition-free course in the summer. 


You must enter in your Lane student email (my.lanecc.edu)