ࡱ> )` RQbjbj hT{{ $:PL^t:a&(nnnnMXid%%%%%%%$'h)H%i!IM!!%nn&###!p8nn%#!%###n !d#@$L1&0a&#9*!`9*#9*#0"# ; %%P#Xa&!!!!:::::::::  INCLUDEPICTURE "/images/stories/website_administration/logos/logo_small_bw.jpg" \* MERGEFORMATINET  ɫ Institute of Mining & Technology Waiver of Tuition Form In order to validate, all other required fees must be paid on or before registration day. This is not a registration form. Obtain official registration form from the Registrars Office in Fidel Center. FALL  FORMTEXT      (year) SPRING  FORMTEXT      (year) SUMMER  FORMTEXT      (year)  FORMTEXT       FORMTEXT       FORMTEXT      !Employee Last Name!Employee First Name!Employee Banner ID # FORMTEXT       FORMTEXT       FORMDROPDOWN !Department (Needed for processing)!Index Number (Needed for processing)!Account FORMTEXT       FORMTEXT       FORMTEXT      !Student Last Name!Student First Name!Student Banner ID # FORMTEXT       FORMDROPDOWN  FORMDROPDOWN !Student Relationship to Employee!Student Status!Full or part-time EMPLOYEE, SPOUSE OR DEPENDENT Up to a maximum of three credit hours per employee will be waived unless both parents are employed, then maximum increases to six credit hours. As a full-time regular employee of NMT, I hereby request permission for me, spouse or dependent child to enroll in the course(s) listed below, with waiver of resident tuition not to exceed an aggregate total of three (3) credit hours. Non-credit community college courses will have one-half of the tuition cost waived. Course Number  FORMTEXT       Course Name  FORMTEXT       Number of Credits  FORMTEXT     FORMCHECKBOX  Includes non-credit course(s)  FORMCHECKBOX  Special Student  FORMCHECKBOX  Undergraduate  FORMCHECKBOX  Graduate Time off to attend a work-related class during work hours approved: Supervisors Signature: DEPENDENT TUITION WAIVER FULL-TIME or PART-TIME A dependent is defined as a son or daughter claimed as a dependent of Federal Internal Revenue Service Forms. I certify that my dependent meets the above definition. __________________________________________________ Employee signature If both parents are NMT employees, student is eligible for only one waiver. Do not use for special students. MUST be classified as a degree seeking student. As a regular full-time employee of NMT with a mimimum of one year of continuous service since my most recent date of hire, I request waiver of full-time or part-time resident tuition for my dependent. My dependent is a regular  FORMCHECKBOX  Undergraduate  FORMCHECKBOX  Graduate student in good standing. Employee signature Registrar signaturePlease read Tuition Waiver Policy on next page and sign Required ( I understand that only tuition will be waived and that I am responsible to NMT for all other fees and financial obligations incurred in taking the above described course(s). Employee Signature _________________________________________________ Date ____________________________ Supervisors Signature _______________________________________________ Date ___________________________ Department is responsible for maintaining their own Copy Human Resources ___________________________________________________ Date ____________________________ Business Office use only: Exemption Code:___________ Detail Code # _____________ Amount Waived _________________ Entered by: _________________________________________ Date Entered ____________________  Page 2 of NMT Tuition Waiver Form TUITION BENEFITS POLICY ɫ Tech offers regular full-time employees three tuition waiver programs. wz{     , . B D F N P R ^ r t ̼ѭ̦̦|xtejh;qYh={rCJUaJhrhcj h\+hy5Ujh\+hy5Ujh\+5U hchcjh."5UmHnHujhchy5U hc5jhc5Uh\+CJaJh\+h\+CJaJ h\+5h\+jh\+U'{ $Ifgdrgdr`gdc$a$gd\+ BQOQQQ      " $ H J L r t v |j#jh;qYhyCJUaJh={rh={rh={r5CJaJh={r5CJaJhEJC5CJaJ#jhh;qYhyCJUaJ#jh;qYhyCJUaJ"jh."CJUaJmHnHujh;qYh={rCJUaJ#jh;qYhyCJUaJh;qYh={rCJaJ' " J t neee $Ifgdrkdܜ$$IflF D*XXX t06    44 layt."  I@@@ $IfgdrkdI$$IflF D*XXX ``` t06    44 lapyt."       ^ ` b ||s|dYGdd#j4h;qYhyCJUaJh;qYhp]CJaJjh;qYhp]CJUaJhp]5CJaJh={rh={r5CJaJh={r5CJaJhEJC5CJaJ h."h={rj۞h."h-U h."h~Hjh."h~HUh;qYh={rCJaJ"jh."CJUaJmHnHujh;qYh={rCJUaJ#jgh;qYhyCJUaJ  ` neee $Ifgdrkd$$IflF D*XXX t06    44 layt."  8 I@@@ $Ifgdrkd$$IflF D*XXX ``` t06    44 lapyt."     & ( * 4 6 : < ^ ` b 𶛒}kY#j#h."h-CJUaJ#jh;qYhyCJUaJh~ 5CJaJhp]h={r5CJaJhp]5CJaJhEJC5CJaJ#j h;qYhyCJUaJh;qYh={rCJaJ"jh."CJUaJmHnHu#jh;qYhyCJUaJh;qYhp]CJaJjh;qYhp]CJUaJ"8 : ` neee $Ifgdrkd$$IflF D*XXX t06    44 layt." $I@@@ $Ifgdrkd$$IflF D*XXX ``` t06    44 lapyt."  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MNO^  /GHaxQe $$Ifa$gdb1$&d IfP gd;qY $IfgdGK $Ifgdrblm  68LNPZ\  *θάθάθph\hjhb1CJUaJhb1CJaJ&jhGKh5f>*CJUaJ&jhGKh5f>*CJUaJ&j&hGKh5f>*CJUaJhGKhb1>*CJaJ+jhGKhGK>*CJUaJmHnHu jhGKhGK>*CJUaJ&jhGKh5f>*CJUaJhGKhGK>*CJaJ*,.TVrtvGHxLPQe ٵ٭}ulucXcucuh5>*CJaJh5CJaJhCJH*aJhCJaJhb15CJaJhh5CJaJhhCJaJ h5h;qYh;qYCJaJh;qYCJaJ#jnh."h-CJUaJ#jh."h-CJUaJhb1CJaJjhb1CJUaJ#jh."h-CJUaJ?@SThiNF$a$gdc'j{kdʪ$$Ifl0* t0644 laytEJC$&d IfP gdb1 $Ifgdb1$&d IfP gdr $Ifgdr  ?@ghi[]D}ٿwld[P[G?h~ CJaJh~ 5CJaJhc'j5CJH*aJhc'j5CJaJhc'jCJaJhc'jhc'jCJaJ$ jhc'jhc'j5>*OJQJ^Jh?L5>*OJQJ^Jhc'jhc'j5>*OJQJ^Jhh~ hCJaJhb1CJH*aJh;qYCJaJ#jVh."h-CJUaJhb1CJaJjhb1CJUaJ#jh."h-CJUaJ\]D}~\}hkdO$$Ifl*+ t0644 layt~  $Ifgdc'j $$Ifa$gd~ gdc'jGHILmMnMNNFOHOOOOOOOBPCPtPxPPPPP QQ Q%Q5QAQBQCQEQFQHQIQKQLQOQPQQQRQȾ㺯hyhch5fjh5fUh@CJaJh@h@CJaJh@h,CJaJh@hvUh?L h?Lh?Lh?Lh?L5 h,5 h,h,h, h?L5h~ 5CJaJhc'jh~ CJaJ1HInMoMNNNGOHOOOCPDPPPPPPPQQQQQgd?LFor employees with one year of service, full resident tuition assistance is offered for dependent children who are enrolled as regular full or part-time students. The student must be in good standing to continue the waiver. For purposes of this policy a dependent is defined as one claimed as a dependent on the most recent U.S. Internal Revenue Service tax forms. The second program offers full resident tuition waiver for up to three credit hours per family each semester to regular full-time employees and their immediate family (spouse and dependent children). Employees may, with the approval of their supervisor, be given administrative time from work to attend a class not to exceed three hours per week. Lastly, employees taking non-credit community college courses will have one-half of the tuition of those courses waived. By signing this Tuition Waiver, I have read and understand this policy. If found not to be in compliance, am responsible for repayment of tuition and fees. 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