Danville Area Community College
Employee or Employee’s Dependent Spouse/Child
Full-time employees are eligible to enroll and have tuition and course fees waived for any Danville Area Community
College regular academic semester course for which they are qualified. Continuing part-time employees are eligible to
enroll and have tuition and course fees waived up to six (6) credit hours per semester. Part-time faculty who are teaching
at least three (3) credit hours are eligible to enroll and have tuition and course fees waived up to six (6) credit hours per
semester during the semester in which the part-time faculty member is teaching. Dependents of full-time employees are
eligible to enroll and have tuition waived for any Danville Area Community College regular academic semester course for
which they are qualified. Course fees are NOT waived for dependents.
Tuition Waiver forms must be completed and returned to the Human Resources Office before the class begins.
Degree credit classes taken through the Corporate and Continuing Education Department are eligible for tuition
waiver at the discretion of the Vice President of Instruction and Student Services.
DACC Employee Colleague I.D. Number
Name of Student Colleague I.D. Number
Employee is: Full-time Student is: Self
(see eligibility above) Child*
*Dependent children are those children who meet two of the following three criteria: (Please check which two
your child meets.)
Children claimed as dependent for federal income tax purposes
Children living in the employee’s home
Children under the age of 26
Term: 20______ Check One: Fall Spring Summer
Total Credit Hours:______
Course Number Credit Hours Scheduled Class Time
Employee Signature Date
Date Dean/Supervisor Signature
Vice President of Human Resources Date
___ ___ ___ ___ ___ ___ - ___ ___ ___ ___
Grant Account Number Executive Vice President of Instruction (approval is
necessary for Corporate & Community Education
Tuition Waived: Yes No Fees Waived: Yes No
Please note: This form must be processed for each term of attendance.
Revised 8/94, 6/96, 1/00, 10/01, 5/02, 8/02, 8/10,