Tuition Waiver for Spouse/Child of Deceased WIU Employee
Student Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
Date
WIU ID
*
WIU Email
example@example.com
Academic Year for which request is made
*
Semester
*
Fall
Spring
Summer
Student Campus Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Deceased Spouse/Parent Name
*
First Name
Last Name
Student Certification of Registration Compliance & Acknowledgement of Policies
Are you registered with Selective Service?
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Yes, I certify that I am registered with Selective Service.
No, I am not registered with Selective Service
I certify that I am not required to be registered with Selective Service because
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I am female
I was born before 1960
I have not reached my 18th birthday
I am an international student
I am a permanent resident of the trust territory of the Pacific Islands or the Northern Mariana Islands.
I am in the armed services on active duty (members of the Reserves and National Guard are not considered on active duty)
Educational Benefits
The natural, adopted or step-children and the spouse of any status employee under full-time employment (including employees on sick leave or compulsory disability leave) who dies while in service at the University shall be entitled to a waiver of tuition and fees up to and including the baccalaureate degree at the University. Should both parents be full-time employees, the death of one parent shall make the child eligible for the waiver of tuition and fees. Children of a divorced employee are eligible for waiver of tuition and fees if such employee was contributing to their support at the time of death. The appropriate documentation is required to verify relationship between spouse/child and deceased employee. [See BOT Regulation for Civil Service - II.C.7.H.(3), for Faculty and Administrative - II.B.12.I.(B), for Coaches - II.B.12.J.(A). Contact Human Resources, 309/298-1971, for additional information.]
For the domestic partner waiver, the employee must have completed the Statement of Domestic Partnership.
This waiver is 100% of tuition and university fees.
The eligible child must be under the age of 25 at the time of the death of the employee.
The eligible child must be under the age of 25 at the commencement of the academic year during which the waiver is to be effective. Thereafter, the age limitation must continue to be fulfilled as of the beginning date of subsequent academic years.
This waiver is only available for attending Western Illinois University.
Student/Applicant Signature
*
Submit
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