Fillable APPLICATION AND AUTHORIZATION FOR REDUCED TUITION FOR EMPLOYEES (Northern State University)

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APPLICATION AND AUTHORIZATION FOR REDUCED TUITION FOR EMPLOYEES (Northern State University)

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BOR50 (Revised 3/2003)
APPLICATION AND AUTHORIZATION FOR REDUCED TUITION
FOR EMPLOYEES OF THE STATE OF SOUTH DAKOTA
ON A SPACE AVAILABLE BASIS
(to be completed each semester prior to Registration)
NAME _____________________________________________________________________________________
(Last) (First) (M.I.)
SOCIAL SECURITY NUMBER _____________________________________ PHONE _________________
AGENCY or INSTITUTION WHERE EMPLOYED _________________________________________________
NAME OF SUPERVISOR ______________________________________________________________________
ADDRESS OF SUPERVISOR __________________________________________________________________
The named applicant is hereby applying for the following course(s) at reduced (half) tuition
SIX CREDIT MAXIMUM PER SEMESTER; EIGHTEEN CREDIT MAXIMUM PER YEAR.
University Course Name Course Number of
Number Credits
_________ ___________________________________ ______________ _____________
_________ ___________________________________ ______________ _____________
_________ ___________________________________ ______________ _____________
Semester (circle one) FALL SPRING SUMMER
Are you registering for reduced tuition benefits provided under SDCL 3-20 at any other college or university:
Yes No (Circle appropriate one)
If yes, please indicate institution and number of hours
I certify that I meet all of the following criteria:
1) I am employed in a permanent benefit eligible position.
2) I have been employed continuously for the State of South Dakota for one year or more.
3) I am not currently on a prescriptive or work improvement plan.
4) My Grade Point Average is 2.0 or greater.
5) I am a resident of the State of South Dakota.
6 I am not entitled to other reduced tuition benefits by law.
7 I have not exceeded the 6 credit hour maximum per semester. All hours over these limits will be billed at full tuition rates.
_______________________________________________________________________ _________________
SIGNATURE OF APPLICANT DATE
I certify that, to the best of my knowledge, the first three criteria noted above have been met.
_______________________________________________________________________ _________________
SIGNATURE OF SUPERVISOR DATE
_______________________________________________________________________ _________________
SIGNATURE OF AGENCY OR CAMPUS PERSONNEL OFFICER DATE
I certify that, to the best of my knowledge, the applicant is eligible to receive reduced tuition for benefit eligible state employees
as permitted by SDCL 3-20.
_______________________________________________________________________ _________________
CAMPUS CERTIFICATION DATE
Print Form
BOR50 (Revised 3/2003)
INSTRUCTIONS FOR PROCESSING HALF TUITION REQUESTS FOR STATE EMPLOYEES
(PRESENT THIS FORM TO THE REGISTRAR BEFORE REGISTERING FOR COURSES)
State employees who wish to attend courses at institutions under the control of the South Dakota Board of Regents should
complete the first part of the BOR50, sign and date the form and deliver it to their supervisor and personnel officer. Both should
certify the information by signing and dating the form in the appropriate place. This area may also be used to authorize time off for
course work.
The employee should deliver the completed form to the President’s representative (Business Office or Registrar’s Office)
who should record the tuition dollar value and certify that all requirements have been met to permit reduced (half) tuition. All
required fees must be paid; however, the institution should only collect for 50% of the tuition for the course(s).
**NOTE**
1. State employees who wish to guarantee space in a course must pay full tuition. This decision is irreversible, and no partial refund
is possible.
2. Tuition reduction is only applicable to state support classes.
3. Graduate tuition reduction programs may be subject to federal income tax.
Questions concerning this procedure should be directed to the Human Resources Officer of the employee’s agency or institution or
the appropriate campus Registrar. Questions may also be directed to the Regents Human Resources Officer at 773-3455.
SDCL § 3-20
REDUCED TUITION AT STATE COLLEGES AND UNIVERSITIES
3-20-1. Reduced tuition for certain state employees--Annual record. Any employee of the state who has been continuously
employed by the state for a period of one year may, upon compliance with § 3-20-4 and all of the requirements for admission, attend
and pursue any undergraduate or graduate course in any state educational institution under the control and management of the board
of regents upon the payment of fifty percent of tuition and one hundred percent of required fees. The board of regents shall maintain
an annual record of the number of participants and the tuition dollar value of such participation.
3-20-2. Maximum credit hours to which reduced tuition may be applied. Any employee of the state is eligible for the reduced
tuition amount provided for in this chapter for a maximum of six credit hours per semester.
3-20-3. Participation in reduced tuition program limited to available space. The right of any employee of the state to participate
in the reduced tuition program is limited to the space available, as determined by the instructor, in any course after all of the full-time
or full tuition paying students have registered.
3-20-4. Eligibility for reduced tuition benefits. To be eligible for the reduced tuition benefit, any employee of the state shall:
1) Be a bona fide resident of the state and employed by the state in a permanent classification that is eligible for benefits
pursuant to chapter 3-12A;
2) Maintain an average academic grade of 2.0 or better; and
3) Have received a merit rating of competent or better in his most recent merit appraisal or is otherwise certified as competent
by his immediate supervisor.
3-20-5. Application for reduced tuition--Rules by board of regents. Any employee of the state desiring the benefits of this chapter
shall make application to the board of regents. The board of regents shall determine whether the person is entitled to the benefits of
this chapter. The board of regents may promulgate rules pursuant to chapter 1-26 to accomplish the purposes of this chapter.
3-20-6. Effect of other reduced tuition benefits. No benefits may accrue under this chapter if a state employee is entitled to other
reduced tuition benefits by law.
SDCL § 13-55
SCHOLARSHIPS AND FREE TUITION AT STATE INSTITUTIONS
13-55-23. Application of legislative exemptions. Notwithstanding any other provisions of law, legislatively mandated exemptions,
whether whole or partial, from the obligation to pay tuition or other required fees apply only to classes, courses and instructional
programs directly supported by moneys appropriated from the general fund.
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APPLICATION AND AUTHORIZATION FOR REDUCED TUITION FOR EMPLOYEES (Northern State University)

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Completed 1 February 2021

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