Fillable Fachex Information And Application (Saint Louis University)

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Fachex Information And Application (Saint Louis University)

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FACHEX PROGRAM INFORMATION AND APPLICATION
Program Qualifications, the student:
A.
must qualify as a child (eligible children are children born to the University employee and not adopted by another or
children adopted by the University employee prior to the commencement of the academic year) of a current or
former full-time Faculty or Staff member who, prior to the first day of classes for the term for which FACHEX
benefits are sought, meets one of the following criteria:
he or she is a full-time Faculty or Staff member who has completed three years of continuous full-time service
with Saint Louis University immediately prior to the first day of classes for which FACHEX benefits are sought;
or
he or she is a former full-time Faculty or Staff member who was employed for more than seven consecutive
years by Saint Louis University and he or she terminated employment with the University by reason of his or
her death or by reason of retirement upon or after the attainment of age 60; and
B.
must not have been awarded a Bachelor’s degree; and
C.
must have met the established requirements for admission to the participating FACHEX institution; and
D.
must, once admitted, continue to meet any existing requirements to maintain satisfactory academic progress at the
participating FACHEX institution; and
E.
must not have reached his or her 25th birthday.
FACHEX Program Eligibility
Saint Louis University determines your eligibility for the FACHEX Program, after you apply for FACHEX eligibility
certification. If Saint Louis University would grant full-undergraduate tuition remission benefits to the student based on
his/her parent’s University employment, then the student is eligible for consideration for a FACHEX award.
FACHEX Award Value
The FACHEX award provides the annual cost of tuition at a participating institution, but FACHEX recipients must pay the
cost of applicable fees, books, room, board and other costs of attendance at the FACHEX institution. As always, students
may apply for additional, need-based financial assistance by annually filing the Free Application for Federal Student Aid
(FAFSA).
FACHEX Program Limitations
Not all Jesuit institutions participate in the FACHEX program, and there are some program restrictions at some
participating institutions (e.g., health sciences, nursing, and overseas studies may be excluded). Each university
determines the programs that are unavailable to FACHEX students. Furthermore, no participating institution is
obligated to enroll more than three FACHEX students over the number it sends out to other schools. Hence, at times,
one or more participating FACHEX institutions may have no openings, and it may be impossible to forecast much in
advance as to when openings could occur. Institutions aim to inform FACHEX applicants of their award status no later
than May 1. If a FACHEX institution offers less than full tuition remission to its eligible faculty/staff dependents, an
incoming FACHEX student would receive a similar tuition award and be responsible for the difference between full
tuition and the FACHEX award along with other non-tuition costs.
FACHEX Program Requirements & Recertification
If given a FACHEX award, the employee must request recertification each year the student is attending that Jesuit
institution. For recertification, please e-mail request to Human Resources, Shelli Brown: shelli.brown@slu.edu no later
than March 1 proceeding the upcoming academic year. Do not complete this form for recertification.
Should you have any further questions, please contact one of
Saint Louis University’s FACHEX Coordinator:
Julie Martin at (314) 977-4211 or email at sfs@slu.edu
FACHEX PROGRAM INFORMATION AND APPLICATION
This information will be used to establish the employee’s and student’s eligibility for the FACHEX Program. Due to the
limited number of FACHEX openings each academic year, not all FACHEX applications will result in a FACHEX award.
This FACHEX application must be received in the Saint Louis University Office of Student Financial Services no later than
October 1, before the student’s fall semester of enrollment at a participating FACHEX institution. Please complete this form
in its entirety. For recertification, please e-mail request to Human Resources, Shelli Brown: shelli.brown@slu.edu no later
than March 1 proceeding the upcoming academic year. Do not complete this form for recertification.
You are requesting FACHEX eligibility as:
A new Freshman Undergraduate Applicant 
A New Transfer Undergraduate Applicant
Other (explain) ________________________
EMPLOYEE INFORMATION:
Name:
Last First MI
Banner ID:
Position:
Employment Start Date:
SLU Phone Number:
Campus Address:
Department:
Years of Continuous Employment at SLU:
Home Number:
E-mail:
Home Address:
City, State, Zip:
STUDENT INFORMATION:
Name:
SSN: - -
Last
First MI
Home Address:
City, State, Zip:
E-mail Address: __________________________________________________
Birthdate:
Anticipated FACHEX Enrollment Semester & Year:
Month/Day/Year
Please list those institutions (attach additional sheets if necessary) for which FACHEX certification is desired. Do NOT include Saint
Louis University. The student must meet the admission and FACHEX Program requirements and deadlines established at each FACHEX
participating institution. For a list of participating institutions, visit: http://www.slu.edu/financial-aid/tuition-and-costs/tuition-
exchange.php
I hereby certify that my child, the student named above, meets the eligibility requirements (outlined within this application) to receive
benefits under the FACHEX Program. My signature below attests that the information on this Application is accurate and complete.
Employee Signature: Date:
(Ink Signature Only)
UPON COMPLETION SUBMIT TO:
Saint Louis University
Office of Student Financial Services, FACHEX Coordinator
FAX: (314) 977-3437
E-MAIL: sfs@slu.edu
OFFICE USE ONLY
CERTIFICATION YEAR:
DATE OF CERTIFICATION:
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Completed 23 July 2020

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