Tuition Exchange Program—Student Application
For new enrollment during the 20
Date of Birth:
S.S.N. (last 4):
List the institution(s) to which you are applying.
The list of participating institutions is updated regularly. Please confirm that the institution(s) participate in CIC–TEP
before including them on this
form. You can confirm their participation at
Importing institution(s) State:
The student confirms that the institution(s) participate(s) in CIC-TEP.
* Visit www.cic.edu/tepinstitutions for an up-to-date list of institutions.
The student completes this form and sends it to the exporting liaison.
The exporting liaison determines if the student meets the eligibility requirements to use the CIC-TEP benefit.
Once the student has been determined eligible, the exporting liaison enters the information from this form into
the CIC–TEP Online Portal.
The importing liaison receives a system-generated email with the application information.
The importing liaison determines if the application is approved or rejected and notifies the student.
The importing liaison also updates the Application Status in the CIC–TEP Online Portal. This update can be
viewed by the exporting liaison.
8. Do not send a copy of this form to the Council of Independent Colleges.
*Detailed guidelines, requirements, and responses to frequently asked questions are available on CIC’s website,
Revised November 2018
First Name: ____________________________ Last Name: _____________________________
Department:____________________________ Telephone: _____________________________
Years of Full-time service at YCP: _________________
New or Renewal?
Date of Submission_____________________________________