Transcription of APPLICATION FOR EDUCATIONAL AID FOR …
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APPLICATION FOR EDUCATIONAL AID FOR …
APPLICATION FOR EDUCATIONAL AID FOR quinnipiac EMPLOYEESGROUP Administrative Clerical 10M 12 MFaculty Full-Time Health Center ____wks ____ hrs Student ID # Maintenance Radio Station Public SafetyPT Faculty ____ # Credits Pursuant to the EDUCATIONAL Benefit policy of quinnipiac University for all full-time and part-time employees, the employee whose name and signature appears below hereby applies for EDUCATIONAL aid. Employees who separate from the University will receive a prorated benefit amount. Tuition remission does not apply to all programs and degree levels. Questions regarding eligibility and programs covered should be directed to human resources. Employee Name: Date of Hire: Full Time Part Time Department: Relationship (If not self): Spouse* Non-Dependent Child Supervisor/Chairman: Dependent Child* Age: Name of Student: Shift Hours: Course Level/School: Graduate** Undergraduate Law School Degree Program: *Spouse/dependent eligibility verification must be submitted upon initial waiver request**The IRS requires that taxes are withheld on graduate courses in certain circumstances.
Pursuant to the Educational Benefit policy of Quinnipiac University for all full-time and part-time employees, the employee whose name and signature
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