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r Completing & Submitting:
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Updated 11/24/20
Eligibility
Adjunct Faculty, who have taught at the University for a minimum of two (2) semesters and have a current
Year Contract with the University, are eligible for a 50% discount off eligible tuition and course-related fees
for SVSU courses taken during that semester. This discount applies to the semester in which they are teaching
and may be valid up to three subsequent semesters. PLEASE NOTE: Spouse & Children are NOT eligible
for the tuition waiver.
Employee Name:
(Last)
(First)
(Middle)
Employee ID Number:
Email Address:
I certify that I have read the SVSU Employee Tuition Waiver/Scholarship Authorization policy and
understand that some or all of this benefit may be taxable.
Employee Signature
Date
**THE COMPLETED FORM MUST BE FORWARDED TO THE DEANS OFFICE FOR APPROVAL**
DEANS OFFICE AUTHORIZATION
Adjunct Faculty Member has met eligibility requirements.
Approved by:
HUMAN RESOURCE AUTHORIZATION
Approved
by:
For Office Use Only:
Office of Scholarship &
Financial Aid
Processed by:
Payr
oll Office
Processed by:
Please select the semester/year in which the Tuition Waiver/Scholarship Authorization is requested:
A new waiver form must be complete each semester on or following the date noted below.
Jun. 1
Nov. 1
Mar. 1
Apr. 1
Fall 20___
Winter 20___
Spring 20___
Summer 20___
Adjunct Faculty
Request for Employee Tuition Waiver/
Scholarship Authorization