Eastern Illinois University
Human Resources
Civil Service Undergraduate Application Fee Waiver
This form implements the Board of Trustees education benefits policy for civil service, faculty, administration
& professional employees. The form should be completed by the employee and approved by the employee’s
supervisor and Eastern Illinois University’s Benefits Office before applying to the Eastern Illinois University or
the Bachelor of General Studies Program.
******************************************************************************************
I am
applying to: EIU: ____ BGS B/A: ____ University E-number: _____________________
(Please check one)
Em
ployee Name: ________________________________________________
(Please print or type)
Department/Organization: ___________________________________ % Employment _______
Institutional Address: ____________________________________________
(if other than EIU) ____________________________________________
____________________________________________
Approvals (Signatures required)
Employee: ________________________________________ Date: ______________
Supervisor: ________________________________________ Date: ______________
EIU Benefits: ________________________________________ Date: ______________
EMPLOYEE’S RESPONSIBILITIES: The employee should attach this approved waiver form to the
application when returning the application to the Ad
missions Office. The employee is still responsible for
completing the Civil Service Tuition Fee Waiver
to have tuition and fees for courses waived. Failure to obtain
the approved tuition and fee waiver form prior to beginning course work each semester may result in the
employee being held financially responsible for courses taken.
