Fillable CLARION UNIVERSITY TUITION WAIVER (Clarion University of Pennsylvania)

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CLARION UNIVERSITY TUITION WAIVER (Clarion University of Pennsylvania)

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The CLARION UNIVERSITY TUITION WAIVER (Clarion University of Pennsylvania) form is 1 page long and contains:

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  • 5 check-boxes
  • 40 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Clarion University of Pennsylvania

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CLARION UNIVERSITY TUITION WAIVER
First Name
Last Name
Department
phone
e-mail
Employee ID
Waiver for: Self Dependent Spouse
Student ID
Dependent/
Spouse Name
Employee Group AFSCME
APSCUF
Management
OPEIU
PSSU
SCUPA
SPFPA
Employment
Type
(check all that
apply)
Full Time
Part Time
Regular
Temporary
Retired
Attending Clarion
Other PASSHE Institution
PASSHE
Institution:
Semester/Session
(Select Only One)
Academic Year or
Summer Session
Year ___________
Fall - full session Fall 7 Week (1) Fall 7 Week (2)
Winter Term Spring - full session Spring 7 Week (1)
Spring 7 Week (2) Summer 1 Summer 2
Summer 3 Summer 7 Week (1) Summer 7 Week (2)
Employee Signature
Date:
----------------------------TO BE COMPLETED BY HUMAN RESOURCES--------------------------------------
Human Resources Approval:____________________________________ Date: _______________
Percentage
Approved
100%
50%
Waiver Type Undergraduate
Graduate
Percentage and Type Determined by Collective Bargaining Agreement and/or PASSHE Policy
COMPLETED FORM SHOULD BE RETURNED TO HUMAN RESOURCES
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CLARION UNIVERSITY TUITION WAIVER (Clarion University of Pennsylvania)

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Completed 19 August 2020

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