Fillable Tuition Waiver Form, CCS Employee (Spokane Community College)

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Tuition Waiver Form, CCS Employee (Spokane Community College)

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CCS 12-100 (Rev. 02/20)
Marketing and Public Relations
CCS Employee
TUITION WAIVER
Student identification number
The student (employee) identification number is used for retrieval of
all records in the student management system database.
Employee’s Last name
MI
I am employed 50 percent or
more at CCS as:
Administrator
Full-time Faculty
Permanent Classified
Professional/Confidential Exempt
Adjunct Faculty
Campus: SCC SFCC
Year
Fall Winter Spring Summer
Registration must be made in person at the college admission/registration office after 9:00 am on the
first day of the quarter through the end of business the fifth day of the quarter (based on the college
academic calendar). Student registration is required by the end of the fifth business day of the quarter.
PLEASE NOTE: Completion of the class section below does not replace the registration form, nor does it
automatically register you in the class(es) when received in the campus registration office. Registration
is required by the end of the fifth day of the quarter.
List class(es) below:
COLLEGE
ITEM NUMBER
DEPT/DIVISION
and COURSE ID
COURSE TITLE
CREDITS
DAYS
TIME
Class does not interfere with assigned work schedule
Request release time (Release time must be job related and approved as part of a formal remediation plan.)
Request reassigned time
Justification (for release time or reassigned time):
Plan for covering work station during employee’s absence:
Approved—Immediate supervisor (nonfaculty only)
Date
Approved—Administrator (nonfaculty only)
Date
Employee’s signature
Date
Employee eligibility verification/Human Resources Office
Date
Class eligibility verification/Registration Office
Date
CCS Administrative Procedure CCS 5.05.05-C CCS Employee Tuition Waiver
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Tuition Waiver Form, CCS Employee (Spokane Community College)

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Completed 27 July 2020

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