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Tuition Waiver Request

Tuition Waiver Request

Tuition Waiver Request for:
Classified Employees Only: By checking the box below I certifiy that I have received acknowledgement from my supervisor for classes scheduled during my work hours.

Employee Information

Employee Name
Employee Name
First
Last

Dependent Information

Dependent Name
Dependent Name
First
Last

Term

Term

Course Information

I agree that it is my responsibility to pay any balance due

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