SOUTHERN UTAH UNIVERSITY
APPLICATION AND AUTHORIZATION FOR TUITION WAIVER
DEPENDENT CHILD
Note: This form must be completed and turned in to the Human Resources office prior to or at the time of
registration for verification of eligibility (eligibility determined by status of applicant as of the first day of
the semester). See below for waiver eligibility requirements and policies. Please note that any changes to
the following (addition/deletion of courses, etc.) will require a new form to be completed.
1. Name of Dependent Child _______________________________________ Date of birth
2. T#____________________Phone#________________For_______________Semester _____________
3. Marital Status: Married Single
4. Name of SUU Employee ________________________________________________________________
5. T-Number of SUU Employee ____________________________________________________________
I hereby attest that I have read and understand the waiver eligibility
requirements and policies and that all of the information I have
provided is true and correct.
___________________________________ _____________
Dependent Child’s Signature Date
___________________________________ _____________
Employee Signature Date
___________________________________ _____________
Human Resources Signature Date
ELIGIBILITY REQUIREMENTS FOR FACULTY/STAFF TUITION WAIVERS:
Tuition Waivers for Dependents
• Tuition waivers are available to unmarried dependent children under 27 years of age of full-time employees [.75 up to 1.00 FTE]
currently under “contract” for nine (9) or more months. One-half of tuition is waived, at the in-state tuition rate, for all
educational and general SUU credit courses including summer school and night school offerings. Non-credit or self-support
classes are subject to all non-credit or self-support fees.
• The eligible individual must pay one-half of tuition and all regular and special fees.
• The application and authorization for tuition waiver form must be obtained by the person receiving the waiver and appropriately
s
igned and submitted to the University Human Resources office at the beginning of each semester.
PLEASE NOTE: SUU employees,
spouses, and their dependents are
subject to the same academic and
registration policies that govern all
students. Employees, spouses, and
dependents taking classes must
maintain a GPA of 2.0 to remain in
good standing and be eligible for
the waiver. If an employee wishes
to drop a class or classes, they
must meet with an advisor in the
Student Success Center to
complete an appropriate
withdrawal procedure.
Fall, Spring, Maymester, Summer
