Employee Tuition Remission Application Form

Please review the Employee Handbook for information about supervisor approval and eligibility.

Employee Name

Email Address

Academic Year

Semester

In what course do you anticipate enrolling?

Do you plan to take this course for:

Course Credit

No Course Credit (Audit)

Has your Supervisor authorized any necessary modification of your work schedule to take this course?

Yes

Section Description

Current Department

Position/Title

Date current employment began

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