Fill - Free fillable Teacher-tuition-waiver - SC-136 Teacher Tuition Waiver R0714 PDF form

SC-136 R072716

FloridaClassroomTeacher TuitionWaiver & Registration

Submit to Campus Admissions and Records Office only.

Bycompletingthisformyouarenotifyingtheinstitutionofyourintenttoenroll.Youwillstillneedtocompletethe

appropriateadmissionsdocumentationandpaytherequiredfee(s).

LastName:_______________________FirstName:________________StudentID:B__________________

Address:___________________________________________________Phone:_________________________

Iamrequestingatuitionwaiverfor:Fall______Spring______Year20_____

PrefixTitle

(seebackpage)

CRN CourseNumber Section Credit Days/Time

PreferredClass

AlternateClass

Bysigningbelow,Iacknowledgethefollowing: 

 Imustcompleteall admissionsrequirementspriortoregistering.



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

approvedbyFDOE.TheofficiallistisontheEFSCwebsite.

 Anewlettermustbesubmittedeachtermtheteacherwilltakeclasses.

 Thewaivermaynotbeusedforcoursesscheduledduringtheschooldistrict’sregularschoolday.

_________________________________ ______________________ _________________

StudentSignature School Date

AgencyAuthorization

IauthorizetheabovenamedemployeetoparticipateintheTuitionWaiverprogram.Ialsocertifythattheabove

namedemployeeholdsanestablishedauthorizedfull‐timeposition.

SchoolName:_____________________________________

Principal’sName___________________________________Phone#:_____________________________

Principal’sSignature_______________________________Date:_______________________________

Thisletterwillsatisfyresidencydocumentationaswellasprerequisitesforcourses.

Office Use Only B_________________

AdmitTerm:_____________________

ReceivedBy:_____________________

ReceivedDate:___________________

FSS1009.26(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.

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Coursesarelimitedtoundergraduatecoursesrelate dtospecialeducation,mathematicsorsciences

asapprovedbytheFloridaDepartmentofEducation.

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:Thislistisonlymeanttobeaguide.TheofficiallistisontheEasternFloridaStateCollegewebsite.

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