SC-136 R072716
FloridaClassroomTeacher TuitionWaiver & Registration
Submit to Campus Admissions and Records Office only.
Bycompletingthisformyouarenotifyingtheinstitutionofyourintenttoenroll.Youwillstillneedtocompletethe
appropriateadmissionsdocumentationandpaytherequiredfee(s).
LastName:_______________________FirstName:________________StudentID:B__________________
Address:___________________________________________________Phone:_________________________
Iamrequestingatuitionwaiverfor:Fall______Spring______Year20_____
PrefixTitle
(seebackpage)
CRN CourseNumber Section Credit Days/Time
PreferredClass
PreferredClass
AlternateClass
AlternateClass
Bysigningbelow,Iacknowledgethefollowing:
Imustcompleteall admissionsrequirementspriortoregistering.
I must register in person on or after the first day of classes for the term and no later than the last day to drop with a refund.
This waiver is not valid for the summer term.
The courses shall be limited to undergraduate courses related to special education, mathematics, or sciences as
approvedbyFDOE.TheofficiallistisontheEFSCwebsite.
Anewlettermustbesubmittedeachtermtheteacherwilltakeclasses.
Thewaivermaynotbeusedforcoursesscheduledduringtheschooldistrict’sregularschoolday.
_________________________________ ______________________ _________________
StudentSignature School Date
AgencyAuthorization
IauthorizetheabovenamedemployeetoparticipateintheTuitionWaiverprogram.Ialsocertifythattheabove
namedemployeeholdsanestablishedauthorizedfulltimeposition.
SchoolName:_____________________________________
Principal’sName___________________________________Phone#:_____________________________
Principal’sSignature_______________________________Date:_______________________________
Thisletterwillsatisfyresidencydocumentationaswellasprerequisitesforcourses.
Office Use Only B_________________
AdmitTerm:_____________________
ReceivedBy:_____________________
ReceivedDate:___________________
FSS1009.26(10)
Verified:___Yes___No
The Florida Classroom Teacher Tuition Waiver is valid for up to 6 credit hours per semester. Student is responsible for all
other fees, at the time of registration.
click to sign
signature
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Coursesarelimitedtoundergraduatecoursesrelate dtospecialeducation,mathematicsorsciences
asapprovedbytheFloridaDepartmentofEducation.
Discipline Title Prefix Prefix Title
Mathematics MAA Mathematics - Analysis
Mathematics MAC Mathematics - Calculus and Pre-Calculus
Mathematics MAD Mathematics - Discrete
Mathematics MAP Mathematics Applied
Mathematics MAS Mathematics - Algebraic Structures
Mathematics MAT Mathematics
Mathematics MGF Mathematics - General and Finite
Mathematics MHF Mathematics - History and Foundations
Mathematics MTB Mathematics - Technical and Business
Mathematics MTG Mathematics - Topology and Geometry
Quantitative Methods In Business QMB Quantitative Methods In Business
Statistics STA Statistics
Biochemistry BCH Biochemistry (Biophysics)
Biological Science BOT Botany
Biological Science BSC Biological Sciences
Biological Science MCB Microbiology
Biological Science PCB
Process Biology (Cell/Molecular/Ecology/Genetics/Physiology)
Biological Science ZOO Zoology
Chemistry CHM Chemistry
Chemistry CHS Chemistry - Specialized
Environmental Studies EVR Environmental Studies
Environmental Studies EVS Environmental Science
Geology ESC Earth Science
Geology GLY Geology
Interdisciplinary Science/Natural Science GFD Geophysical Fluid Dynamics
Interdisciplinary Science/Natural Science ISC Interdisciplinary Sciences
Interdisciplinary Science/Natural Science MOB Molecular Biophysics
Meteorology MET Meteorology
Oceanography/Ocean Engineering EOC Ocean Engineering
Oceanography/Ocean Engineering OCB Biological Oceanography
Oceanography/Ocean Engineering OCC Chemical Oceanography
Oceanography/Ocean Engineering OCE General Oceanography
Oceanography/Ocean Engineering OCG Geological Oceanography
Oceanography/Ocean Engineering OCP Physical Oceanography
Physics AST Astronomy
Physics PHY Physics
Physics PHZ Physics (Continued)
Physics PSC Physical Sciences
Education: Exceptional Child EBD Education: Emotional/Behavioral Disorders
Education: Exceptional Child EEX Education: Exceptional Child - Core Competencies
Education: Exceptional Child EGI Education: Gifted
Education: Exceptional Child EHD Education: Hard of Hearing & Deaf
Education: Exceptional Child ELD Education: Specific Learning Disabilities
Education: Exceptional Child EMR Education: Mental Retardation
Education: Exceptional Child EPD Education: Physical & Multiple Disabilities
Education: Exceptional Child EVI Education: Visually Impaired-Blind
Note:Thislistisonlymeanttobeaguide.TheofficiallistisontheEasternFloridaStateCollegewebsite.