Tallahassee Community College
Employee Tuition Benefit Form
Please complete the following sections that applies to you, obtain your supervisor’s signature, and submit to Human Resources for
verification. Subsequently, Human Resources will submit the completed form to the Financial Aid Office for processing.
To be eligible, employees in established positions may register for courses offered by TCC without payment of resident per credit hour fees for a
specified maximum credit or equivalent hours per semester (pro-rated per FTE). This does not include additional fees such as lab fees or other special
fees. Employees also must have completed six (6) months of satisfactory, continuous, and creditable service at the College.
Employees must have the prior approval of the immediate supervisor on this form provided by the Human Resources Department BEFORE registering
for any courses.
Full-time employees may register for up to six (6) credit hours per semester. Less than full-time employees may register for up to three (3) credit
hours per semester (this does not apply to spouses and/or dependents). Spouse and/or dependents of full-time employees in established positions
may enroll for a maximum of six (6) credit hours per semester.
All employees, spouses, and dependents who utilize this benefit shall meet the admission requirements of TCC.
Employee Information:
Employee Name: _________________________________________ Employee PID: ____________________
Phone (Campus): ________-________ Email: ___________________________________________________
(Please refer to Tallahassee Community College District Board of Trustees Policy Number 04-15: TCC Classes for College Employees for questions regarding eligibility.)
Student Information:
Student Name: ____________________________________ TCC Student ID: __________________________
Last 4 of Social Security Number: ___________ Date of Birth (dependent only): ______________________
(Admittance into TCC is mandatory before being able to submit benefit form.)
Recipient: Employee Spouse Dependent Child
(Please refer to Tallahassee Community College District Board of Trustees Policy Number 04-16: TCC Classes for Spouses and/or Dependents of College Employees for
questions regarding eligibility.)
Semester/Term: ______________________________ (may only submit form for the next available semester.)
Affidavit for Spouse/Dependent Eligibility
I, ________________________, solemnly swear or affirm that _______________________________ is an eligible
spouse/dependent based on TCC Policy 04-16, which states the term spouse is defined as one who is legally married to
the employee and resides in the same household. The term dependent is defined as an unmarried child including an
employee’s adopted child, stepchild, or a child under legal guardianship. An unmarried child must depend primarily on the
full-time employee for support and maintenance and must live with the employee in a regular parent-child relationship.
Children may be eligible until age twenty-four (24).
Employee’s Signature __________________________________________________ Date ______________________
Spouse/Dependent Signature ____________________________________________ Date ______________________
Supervisor’s Signature of Approval _______________________________________ Date ______________________
Human Resources Verification: Current Employee Full-Time Part Time
Verifier’s Name/Signature __________________________________________ Date ______________________
Tallahassee Community College, Human Resources: 444 Appleyard Drive, Tallahassee, FL, 32304: Phone (850) 201-8510: Fax (850) 201- 8489
Rev. 04/17
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