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Tuition Waiver Request
Tuition Waiver Request
Tuition Waiver Request for:
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Employee
Qualified Dependent
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.
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Employee Information
Employee Name
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Employee Name
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First
Last
Last
Employee Email
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BMCC Student ID
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Employee Classification
*
PartTime/Coaches
Classified
Exempt
Faculty
Dependent Information
Dependent Name
Dependent Name
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First
Last
Last
BMCC ID
Relationship to Employee
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Term
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Fall
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Year
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Course Information
Course Number
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Course Name
*
Credits
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I agree that it is my responsibility to pay any balance due
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