TUITION BENEFIT FOR INDEPENDENT STUDY
BYU Benefits Services D240 ASB ext. 2-4496 fax 2-0306
The tuition benefit policy states that as a full-time employee, you are eligible to receive a full-tuition benefit for up to 6.0 credit hours per semester or a maximum of 4.0 credits in one term (not to exceed 6.0 credits for both Spring and Summer Terms combined). You may not register for more than the credit limit.The tuition benefit will only cover the cost of the course. You are financially responsible to pay any fees that may be associated with the course in addition to any withdrawal fees. It is your responsibility to understand Independent Study’spolicies. You will not be able to register for an Independent Study course if you have outstanding fees.If you have questions regarding Independent Study and their policies, please contact them at 801-422-2868.
Independent Study courses must be completed within 12 months. If available, you may also have the option of paying the fee for a one-time, three month extension. If a grade has not been received in the course 15 months from the time of registration,the benefit will be rescinded and you will be financially responsible for the course cost and any accrued fees. Once this completed form is received and approved, Benefits Services will coordinate registration with Independent Study and a confirmation email will be sent.
While Independent Study courses do not have to be completed within regular day-time semester dates, you will still be held to the credit limits. If the Independent Studycourse you are taking has not been completed before the start of the following semester or term, the course will count towards the next semester/term credit limits. It is to your advantage to finish the course as quickly as possible to maximize credits available each semester/term.
Please complete the following:
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Name (Last, First, Middle) Mailing address
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BYU ID NumberMailing address
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Email Address Birthday
Listbelow the Independent Study course(es) that you are requesting to take.
Total Credit Hours: ______Not to exceed six hours per semester, three hours per term (or four in one term and two in another).
Course Name / Registration Code / Credit Hours / Date registered(for office use only)
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Employee Signature and Date
(By signing this form, I agree to abide by the tuition policy and
I understand all the guidelines involved in taking Independent Study classes.)
Final Approval is granted by Benefits Services
2/2010