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Rev. 03.23.18
WAIVER REQUEST
Tuition and Qualifying Non-Credit Course Fees
For Employees and Adjunct Faculty
Semester: Fall Spring Summer 20 (year)
MAU: UAF UAA UAS SW
Waiver Type
Employee/Disabled Regents Policy 04.06.010
Emeritus Status / Layoff / Disability (per State retirement system)
Employee/Adjunct Faculty Name Employee ID AFROTC (per AFROTC/Chancellor agreement)
Adjunct Faculty Collective Bargaining Agreement 14.3
GENERAL RULES (see R04.06.010 on reverse side)
Regular benefit eligible employees are eligible for tuition waiver.
Waiver Request form must be turned in before payment. NO reimbursements will be made.
Waiver covers tuition ONLY. It does not cover any tuition surcharges.
Non-credit course charges are waived only for UA-approved courses.
Fees are not covered by waiver (i.e., student activity fees, course lab fees, health center fees, technology fees, etc.). Fees are student’s
responsibility and must be paid by the deadline.
Tuition waived for graduate courses, i.e. 600 level, taken by a university employee or adjunct may be taxable to the employee/adjunct and
included in the employee/adjunct’s W-2 as taxable income.
GRADUATE/UNDERGRADUATE COURSES
Prior to this request, I have had credit hours waived this academic year. (Fall through Summer, maximum of 8 per semester /16 per
academic year. Adjunct Faculty: see Article 14.3). Employee’s Initials
Complete the following only if taking course(s) during your normal working hours, and obtain your supervisor’s written approval below:
CRN
Department
Course No.
Section
Course Title
Days
Hour/Time
Graduate
Course
(Check if yes)
UA-APPROVED NON-CREDIT COURSES
Prior to this request, I have had UA-approved non-credit course charges waived this academic year (Fall through Summer, maximum of 4
per semester / 8 per academic year). Employee’s Initials For current listing, see http://www.alaska.edu/hrtraining/
Complete the following only if taking UA-approved non-credit courses during your normal working hours, and obtain your supervisor’s written approval below:
Seminar/Workshop
CEUs, if any
Course Date(s)
Time
EMPLOYEE/ADJUNCT FACULTY CERTIFICATION OF ELIGIBILITY
I certify that I am eligible for this Waiver Request. I understand that I am obligated to pay tuition or course charges if I am ineligible for the waiver. I
understand that falsifying eligibility or other information on this request may result in disciplinary actions up to and including termination of my
employment.
Employee/Adjunct Faculty Signature: _____________________________________ Phone #___________________ Date: _________________
TO BE COMPLETED BY EMPLOYEE’S SUPERVISOR if the employee’s attendance at a course will occur during their normal working hours.
Supervisor’s prior approval is required before the employee submits this form.
Supervisor’s Signature: Phone #: Date:
click to sign
signature
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signature
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Rev. 03.23.18
PLEASE NOTE: Formal provisions, including but not limited to Regents’ Policy, University Regulation and collective bargaining agreements
(CBAs), determine the actual benefits that will be provided to employees. If the form content conflicts, the Policy, Regulation and CBA provisions
will govern.
UNIVERSITY REGULATION 04.06.010
EMPLOYEE EDUCATION BENEFITS
Regular employees, spouses and dependents are authorized a waiver of course charges (“tuition”) under the following conditions:
A. Regular employees of the university may have tuition waived for up to sixteen credit hours per academic year with a maximum of eight credit
hours per semester.
B. Regular employees may have course credit hour charges waived for up to four university approved non-credit courses in each semester, not to
exceed eight non-credit courses per academic year. Prior to the start of each academic term, the list of university approved non-credit courses
will be provided by the Statewide Office of Human Resources.
C. Notwithstanding subsections A and B of this section, regular employees with an employment contract with the university for the following
academic year, but who are off contract during the summer, may have up to sixteen graduate or undergraduate course credit hour charges
waived per summer session. Such employees may have up to eight non-credit courses waived from a university approved list per summer
session. The employee’s tuition waivers shall not exceed sixteen credit hours and eight non-credit courses per academic year.
D. An academic year begins with the fall semester and ends with the summer term.
E. Regular employees may take up to three credit hours during working hours with prior written approval by the supervisor, without having to
make up the time if, in the opinion of the supervisor, the coursework will be of direct benefit to the university.
F. Regular employees may take university approved non-credit courses during working hours with prior written approval by the supervisor.
Employees are not required to make up the time for their attendance at university-approved non-credit courses.
G. Regular employees may attend credit courses that do not directly benefit the university during working hours with prior written approval of the
supervisor. The employee shall use accrued leave or make up lost work time through a flexible work schedule requested through and approved
by the supervisor.
H. Spouses and dependent children under the age of 24 of regular employees may have course credit hour charges waived as provided in this
section.
I. Regular employees who qualify for education benefits through their employment status are not eligible for education benefits as an employee’s
spouse or dependent child.
J. An individual who qualifies for permanent disability during his/her regular employment under the University of Alaska's long-term disability
plan will have course credit hour charges waived for a period of three academic years following qualification.
K. A regular employee who has included university coursework as part of an approved leave of absence is entitled to the same education benefits as
a regular employee.
L. Education benefits cease upon termination of employment except for:
1. Those courses in which the employee, spouse or dependent child is currently enrolled and classes are in session at the time of termination;
and
2. An employee in layoff status as provided in R04.07.110.F.3.
M. An employee is responsible for any tax liability generated from employee education benefits.
N. Course credit hour charges will not be waived for the following, except as provided:
1. Self-support courses, except for non-credit university approved courses taken by employees;
2. Non-credit courses for spouses and dependent children of employees;
3. 500 level courses;
4. Year-long courses;
5. WWAMI Medical Program courses; but tuition for coursework provided by the University of Alaska may be waived if otherwise eligible;
and
6. The Colorado State University Veterinary Medicine (DVM) degree program, including the first two years of courses which UAF delivers
through a partnership with Colorado State University.
O. For purposes of this regulation “spouse” includes an individual determined by the university to be a financially interdependent partner of a
university employee.
Rev. 2-2-2018
ADJUNCT FACULTY EDUCATIONAL BENEFITS
COLLECTIVE BARGAINING AGREEMENT 14.3
1. A unit member will earn a four credit tuition waiver in each semester of teaching. The waiver may be used by the unit member, his/her
spouse, or dependent child under the age of 24, for graduate or undergraduate credit hour charges (tuition). Educational benefits provided in this
Article are available to be used for courses on the same basis as may be used by other university employees.
2. A unit member must promptly apply for and document eligibility for the waiver prior to fee payment, and no refund of paid tuition will result
from the application of this provision.
3. An adjunct may accrue tuition waivers earned in accordance with this provision up to a maximum of 24 credits. Banked waivers shall expire
24 months after the unit member’s last assignment in the bargaining unit represented by United Academics Adjuncts or upon employment in
another class of employment eligible for tuition waiver.
4. Once expired, a tuition waiver is not reinstated by subsequent employment.