Civil Service Employee Tuition Waiver Application

Civil Service Employee Tuition Waiver Application - Interinstitutional
Employee Name*

First NameLast Name
Employee ID*
Employee Email*
example@example.com
Home University & Department*
Classification*
Work Phone Number*
Please enter a valid phone number.
Percent Time
Hire Date*

MonthDayYear
Date
Class Information
University where course(s) will be taken*
Semester*
Year*
List Courses*
I certify that the above information is true and correct. I agree to submit a new request should my registration change, and if necessary, I accept tax liability for the value of tuition waived for graduate level courses for which I register. I understand that I will be subject to disciplinary action should the above information be proven false.
Civil service employees from other institutions who are covered under the State Universities Civil Service System, fees that are to be waived in addition to tuition are: university fees, transcript fees, telecourse fees, orientation fees, and Distance Learning charges. Fees for undergraduate and graduate related to proficiency examinations, application fees and laboratory fees are not waived.

At Western Illinois University, civil service full time employee shall be eligible for a waiver of tuition and fees for 6 credit hours, 3/4 time employee shall be eligible for 4 credit hours, 1/2 time employee shall be eligible for 3 credit hours. Any credit hour taken over the credit hour maximum is the employee’s responsibility. Employees who enroll in courses at state universities in Illinois other than Western Illinois University, the credit hour maxima and fees which will be waived will be determined by the institution in which such employees enroll.
Employee Signature

Clear
Should be Empty:

Civil Service Employee Tuition Waiver Application - Interinstitutional

Class Information