MEREDITH COLLEGE
APPLICATION FOR TUITION REMISSION FOR DEPENDENT
Name of Eligible Employee or Former Employee: _________________________________________________
Address: ____________________________________Phone: _______________ Email: ___________________
Employment Status:
1) ___ Current Employee ID#: ___________ Date of Hire: _____________ Dept: __________________
2) ___ Retiree ___ Disabled ___ Deceased Retiree Dates Employed: ____________ to ____________
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Legal Name of Dependent: _____________________________________________ MC ID #: ______________
Dependent’s Legal Relationship: ____________________________ Dependent’s Date of Birth: ______ ____
Dependent’s Address: _________________________________________________________________________
Academic Semester Requested (select one): Fall Spring Summer 20__________________
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Employee and Dependent initial each statement, then sign below.
_____ /_____ I have reviewed the current Tuition Remission policy. (Available on HR MyMeredith or Employee
Handbook)
_____ /_____Dependent meets all qualifications for Tuition Remission, as outlined in the current policy
_____/_____ Employee is legal spouse or certified domestic partner of Dependent
_____/_____ Employee is legal parent of Dependent
Employee/custodial parent provided majority of financial support majority of prior year
Employee/custodial parent claimed dependent on US Tax Return previous year
Dependent is age 24 or under
Dependent is unmarried and not divorced
_____ /_____ I have reviewed the Taxability of Graduate Tuition Remission Notice. (Available on HR MyMeredith or
Employee Handbook). I understand that the College is required to withhold taxes on values above $5,250 and
report such on the employee’s annual Form W-2.
_____ /_____ I understand:
An application must be submitted for each semester benefit is requested. Priority Due Dates: Fall - July 1;
Spring – November 1; Summer – May 1. Final date to submit application is the last day of drop/add.
Tuition Remission covers on-campus tuition only. Dependent is responsible for all other fees.
Tuition Remission is available to Dependents for summer for specific graduate programs only.
Dependent is encouraged to complete FAFSA each year.
Tuition Remission benefit is available for up to 150% of the hours required for degree.
Dependents must earn at least 75% of hours attempted at MC, as consistent with the financial assistance
satisfactory academic progress policies.
Tuition Remission is available to female dependents for undergraduate enrollment, and male or female
dependents for graduate enrollment. Dependents must meet all regular enrollment requirements.
We certify that the listed individual is the legal Dependent of the listed Employee/former Employee and meets all of
the stated requirements for eligibility:
Employee’s/Former Employee’s Signature: _____________________________________________ Date: ___________
Dependent’s Signature: _____________________________________________________________ Date: ___________
Next steps:
1) HR will scan approved form to FA. FA will email employee to confirm receipt.
2) Dependent completes registration for classes. (Registrar’s Office can provide registration assistance.)
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Human Resources Approval
Eligibility Approved: Director of Human Resources Signature: ____________________________ Date: ___________
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