Eastern Illinois University
Civil Service Interinstitutional Tuition Waiver
Other Public Illinois University Employees Taking Courses at EIU
Other Public Illinois University civil service employees may use this waiver at Eastern Illinois University. This
waiver covers six credit hours or two courses, whichever is greater. This form should be completed by the
employee and approved by the employee’s supervisor, benefits office, and attending universities benefits offce
before beginning coursework each semester. Failure to submit an approved waiver prior to the beginning of
course work each semester may result in the employee being held financially responsible for the course(s)
taken. If any changes should occur after this waiver has been approved, a revised waiver must be submitted.
Please notify the Benefit Services at 217-581-5825 or at benefits@eiu.edu of withdrawal from courses for which
tuition and fees were waived.
Please select the university you are attending:
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hicago State University Southern Illinois University-Edwardsville
Governor State University University of Illinois-Champaign Urbana
Illinois State University University of Illinois-Chicago
Northeastern Illinois University University of Illinois-Springfield
Northern Illinois University Western Illinois University
Southern Illinois University-Carbondale
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mployee Name: EIU Number: E
(Please print or type)
E
mployee University’s ID:
R
equest to take course in: Fall Spring Summer Year
Course: Credit Hours:
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ourse: Credit Hours:
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ourse: Credit Hours:
I hereby declare I am aware of the civil service interinstitutional tuition waiver maximum utilization of two
courses or six credit hours per semester, whichever is greater. Rulings and fees may differ at attending
university. I will be held financially responsible for additional course work.
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mployee: Date:
Approval Signature Required
S
upervisor: Date:
B
enefit Services: Date:
Re
ciprocal Institution: Date:
