Faculty/Admin Employee Tuition Waiver Request

Tuition Waiver Request

Faculty/Administrative Employee (Unit A/Unit B/ASP/LOA/ADMINS)
Your Name*

First NameLast Name
Your email*
Provide your @wiu.edu email address.
Your Phone Number*
Please enter a valid phone number.
Your Employee ID Number*
WIU ID Number
Employing Department*
Is your empoyment:*

Full-TimePart-TimeGoverned by the UPI Agreement
Start date for this position:*
Year/Month
I certify that:*

I am not required to be registered with the Selective ServiceI am registered with the Selective Service
Employee Signature (If you purposely state falsely any information relative to Selective Service registration, you may be subject to a fine or imprisonment or both.)*

Clear
If the course is scheduled during a workday, academic support professionals will make up the missed work at a time agreeable to their supervisor.
Your direct supervisor's WIU email address*
An approval email will be sent to this address.
The number of semester hours an employee is eligible for waiver:
- Full-time employee (2 courses or 6 credit hours, whichever is greater)
- Half-time employee (1 course or 3 credit hours, whichever is greater)
- Part-time employee (less than 9-months, 50% employee or temporary employee in 1st year of employment (ineligible)
Class Semester*

SpringFallSummer
Class Year*
Course 1*
Course 2
Course 3
Should be Empty: