STATE EMPLOYEE
TUITION FEE WAIVER FORM
OFFICE OF THE REGISTRAR
11000 University Parkway,
Bldg 18
Pensacola, FL 32514
Telephone: 850.474.2244 Fax: 850.473.7345
registrar@uwf.edu
For State Employees attending UWF; employees of the Executive, Legislative, and Judicial branches of state government.
UWF ID Number: Name:
First Middle Initial Last
Work Address: City: State: Zip Code:
Agency Name: Job Title: Email Address:
Registration Information: Year_____ Semester: Fall Spring Summer Total number of credit hours: ______
Subject Course Number Course Title
Restrictions:
Enrollment will be limited to courses that do not increase the direct cost to the university. Courses that increase direct cost and
therefore are not space-available courses include, but are not limited to, individualized courses, distance-learning courses,
dissertation, self-funded online MBA & online MSW programs (effective for Fall 2020 admits), internships, and thesis courses. In
addition, according to Section 1009.265
(1).
I acknowledge and understand the following limitations:
I must be admitted to the University as a full-time State employee and I may request up to 6 credit hours per semester.
I must turn in my State Employee Tuition Waiver Form after course registration (during the add/drop period) and I understand
certain fees are not covered; therefore, an account balance may be due.
I may only register for course(s) during the designated State Waiver registration period. If I register prior to that period, I will
assume financial responsibility for the course(s). State Waiver registration dates may be found at
https://uwf.edu/offices/registrar/tuition--fees/state-employee-tuition-waiver/
.
I have read and acknowledge the State Employee tuition fee waiver policy found at https://uwf.edu/offices/registrar/tuition--
fees/state-employee-tuition-waiver/.
Employee Signature:
Date:
*
I certify this employee is employed by the State of Florida in a full-time salaried position (excluding OPS), and has the approval of the agency
head or designee to participate in this program.
Supervisor or Agency Head*
(or Equivalent)
Signature
Printed Name
Date
Position Title: Phone Number: Email Address:
In accordance with
FS 1009.265
DATE RECEIVED: DATE PROCESSED: PROCESSED BY: FORWARD CASHIER:
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