State Employee

Space Available Tuition Waiver

·  Submit completed form to Enrollment Services, Bldg 7.

·  Attach a completed Add/Drop Form with the Instructor’s signature.

·  Enrollment for State Employees, teachers and K-12 classified staff, opens on the 3rd instructional day of the quarter on a space available basis. Space availability is determined by the number of open seats below the capacity of the class.

o  Enrollment for TCC employees begins at 8AM on the 3rd instructional day.

o  All other State employees teachers and K-12 classified staff may begin enrollment at 12:00PM (Noon) on the 3rd instructional day of the quarter.

PLEASE PRINT CLEARLY

Name: ctcLink ID:

Last First Middle Initial

Quarter/Year: ÿ I am a Tacoma Community College employee, employed half-time (50%) or more.

Revised 12/08/16 CCL

Employer Verification

I verify that the above named student is employed with our organization in a permanent position, classified as half-time or more, and is eligible for a Tuition Waiver under provisions as amended in RCW 28B.15.558. Temporary employees are not eligible.

Revised 12/08/16 CCL

State Agency Name and Address:

Supervisor or Personnel Officer:

Printed Name & Title

Verification Signature Date

Revised 12/08/16 CCL

Student Acknowledgment

I understand that:

·  Tuition Waiver may be granted for up to 2 classes (10 credits) per quarter.

·  Tuition Waiver is granted on space availability only, no overloads.

·  The cost per class is $5, plus applicable fees (lab, technology, CAP, etc.)

·  I will need to attend the selected courses from the first day of class and alert the instructor that I am attempting to use the waiver in order to enroll.

·  If I am enrolling in an online class, I need to arrange access to Canvas to participate in Week Zero of the class. To arrange access, email the instructor and with the course subject/number (example, SOC& 101) and class number (example, 6722).

·  Tuition Waiver does not apply to Continuing Education (non-credit) classes.

·  Enrollment earlier than the 3rd instructional day of the quarter will result in disqualification for the Tuition Waiver and I will be charged at the regular tuition rate.

·  If there are any holds on my account, this request will not be processed until the holds are resolved.

Student Signature Date

Revised 12/08/16 CCL