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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