Tuition Waiver Form - Santa Fe College
STATE EMPLOYEE TUITION WAIVER PR0GRAM -- INTENT TO APPLY AT SANTA FE COLLEGE
Complete this form and fax it (Attn: Cashier) to (352) 381-7020. If you have any questions, please call the Cashier's Office at (352) 395-5227.
Name
Santa Fe ID
Agency
Phone #
Address
City
State
Zip Code
Email address
I am requesting a waiver for
_ _ Fall ___ Spring ___ Summer Year________
List Courses:
Preferred Preferred Alternate Alternate
I, the undersigned, acknowledge the following: ? The State waiver covers no more than six credit hours per term. ? State Employees cannot register prior to the last day of registration for any session. ? All other charges/fees are my responsibility. ? My ability to secure the courses I request depends on space availability.
Signature
Date
_________________________________________________________________
Agency Authorization
I authorize the above named employee to participate in the Tuition Waiver Program. I also certify that the above-named employee holds an established authorized position with a full time equivalency (FTE).
Supervisor's name (please print)
Supervisor's Signature
Title
Agency Head or designee (please print)
Date
Agency Head or designee Signature Phone Number
Title
Date
10/8/2008
................
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