EMPLOYEE TUITION REMISSION - Xavier University



EMPLOYEE TUITION REMISSION

(Must be completed each semester classes are taken)

1. Complete form and have supervisor sign.

2. Divisional Leader approval required if over 6 credit hours*.

3. Submit form to Human Resources - ML 5400 or scan to hr@xavier.edu.

4. HR will forward the form to Financial Aid for processing.

5. Graduate tuition remission may be considered taxable income.

6. Disclaimer: Maximum allowable reimbursement for all MBA

classes is based on main campus per credit hour rate.

Summer Fall Spring

Date: _________________________________________

Name: ________________________________________ Employment Status: Full Time Part Time

Banner ID: _____________________________________

COURSE NO. COURSE TITLE DAY/TIME # OF CREDIT HOURS

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

Supervisor’s Approval: _______________________________________________________

*If the course is held during normal working hours, my signature above authorizes my approval.

*Divisional Leader Approval: __________________________________________________

(only required if more than 6 credit hours are requested)

HR Use Only:

Approval: ____________________________________________ Percent: ______________ Date____________________

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