ࡱ> npm FBbjbj .`::}}}}}\"jX1!9}}}9 }}@ZD@O0}"}"}"}Hl"}": C:  REQUEST FOR INTERINSTITUTIONAL WAIVER OF TUITION The purpose of this form is to authorize the payment of tuition and fees for eligible University Civil Service employees (as defined in Section 36e of the Civil Service Statues). Civil Service employees are limited to a maximum of two courses provided that the employee meets the conditions for admission as prescribed by the Office of Admissions. DATE:  FORMTEXT       TO:  FORMTEXT      (Name of Institution) FORMTEXT      (Personnel Office) FORMTEXT      (Street Address) FORMTEXT      ,  FORMTEXT     FORMTEXT      (City, State and Zip)NAME:  FORMTEXT      SSN:  FORMTEXT       Banner ID: FORMTEXT      CLASSIFICATION:  FORMTEXT      % TIME WORKED:  FORMTEXT     PLACE OF EMPLOYMENT:  FORMTEXT      EFFECTIVE DATE OF EMPLOYMENT:  FORMTEXT   / FORMTEXT   / FORMTEXT     COURSE 1.  FORMTEXT      CREDIT HOURS:  FORMTEXT    GRAD  FORMCHECKBOX  UGRAD  FORMCHECKBOX  2.  FORMTEXT      CREDIT HOURS:  FORMTEXT    GRAD  FORMCHECKBOX  UGRAD  FORMCHECKBOX    ( * > @ B L N P ~ Ǻǎ~Ǻfǎ^QǺh~CJOJQJ]^Jh~OJQJ.jh<h:F'CJOJQJU]^Jh<h~5CJOJQJaJ-jh/"3CJOJQJU]^JmHnHu(jeh<CJOJQJU]^Jh<CJOJQJ]^J"jh<CJOJQJU]^Jh~h~5OJQJh<5OJQJ jh<h<5OJQJU45   $If $$Ifa$$a$$a$$@&a$   ( P | tkee$If $$Ifa$kd$$IfTlF$<B 0    4 laT| ~ tjdd$If $If^kd$$IfTlF$<B 0    4 laT  " 6 8 : D F J L ` ֲֲֿֿ֝|֝dֿ|R"jh~CJOJQJU]^J.j h<h<CJOJQJU]^Jh~5OJQJ.jh<h<CJOJQJU]^Jh<CJOJQJ]^Jh~OJQJh~CJOJQJ]^J-jh/"3CJOJQJU]^JmHnHu"jh<CJOJQJU]^J.jh<h<CJOJQJU]^J  tjdd$If $If^kd-$$IfTlF$<B 0    4 laT  tjdd$If $If^kdW$$IfTlF$<B 0    4 laT` b d h j n p ٹ٬ٹtgOtt.jh<h:F'CJOJQJU]^Jh<CJOJQJ]^J"jh<CJOJQJU]^Jh,Z5OJQJh~OJQJ(jh~CJOJQJU]^Jh~CJOJQJ]^Jh~5OJQJ-jh/"3CJOJQJU]^JmHnHu"jh~CJOJQJU]^J(jh~CJOJQJU]^J tnn$Ifkdi$$IfTlF$<B 0    4 laT 6 L t z $Ifgd,Z$Ifukd$$IfTl0H$04 laT  " $ & 0 2 L N b d f p r t v wjRww.jh<h:F'CJOJQJU]^Jh<CJOJQJ]^J"jh<CJOJQJU]^Jh,ZOJQJ.jh,Zh,ZCJOJQJU]^Jh,Z5OJQJ-jh/"3CJOJQJU]^JmHnHu.jh,Zh,ZCJOJQJU]^Jh,ZCJOJQJ]^J"jh,ZCJOJQJU]^Jt v  ^XX$Ifkd$$IfTl4\x.$pF04 laf4T     8 : N P R \ ^ ` b ٹzŸmXMmh,Z56OJQJ(j!h,ZCJOJQJU]^Jh,ZCJOJQJ]^J.j h<h:F'CJOJQJU]^Jh<CJOJQJ]^J"jh<CJOJQJU]^Jh,ZOJQJh,Z5OJQJ-jh/"3CJOJQJU]^JmHnHu"jh,ZCJOJQJU]^J(jAh,ZCJOJQJU]^J  ~$Ifzkd$$IfTl40$T 04 laf4T ` b +gkdY!$$IfTl4$h%04 laf4T$Ifekd] $$IfTl4$h%04 laf4T  ,.BDFPRlrtٷ٪ٍreMrr٪.jc$h<h:F'CJOJQJU]^Jh<CJOJQJ]^J"jh<CJOJQJU]^Jh,Z5OJQJh,ZOJQJ(j"h,ZCJOJQJU]^Jh,ZCJOJQJ]^Jh,Z56OJQJ-jh/"3CJOJQJU]^JmHnHu"jh,ZCJOJQJU]^J(j_"h,ZCJOJQJU]^J  $IfgkdK#$$IfTl4$h%04 laf4T,Tzz$If $$Ifa$ukd#$$IfTl0H$04 laT*,@BDNPjprٺ{i\Dii.j&h<h:F'CJOJQJU]^Jh<CJOJQJ]^J"jh<CJOJQJU]^J&j%h/"3h/"35OJQJU&jO%h/"3h/"35OJQJUjh,Z5OJQJUh,Z5OJQJh,ZOJQJ-jh/"3CJOJQJU]^JmHnHu"jh,ZCJOJQJU]^J(j$h,ZCJOJQJU]^J*Rtkee$If $$Ifa$kd7&$$IfTlFH$X\ 0    4 laTr<<&<(<<<><@<D<F<L<N<b<˴ˬmkV˴ˣ(j)h,ZCJOJQJU]^JU&j5(h/"3h/"35OJQJU&j'h/"3h/"35OJQJUjh,Z5OJQJUh,Z5OJQJh,ZOJQJ-jh/"3CJOJQJU]^JmHnHu"jh,ZCJOJQJU]^J(jW'h,ZCJOJQJU]^Jh,ZCJOJQJ]^Jtnn$Ifkd($$IfTlFH$X\ 0    4 laTSEMESTER BEGINS:  FORMTEXT    /  FORMTEXT    /  FORMTEXT     SEMESTER ENDS:  FORMTEXT    /  FORMTEXT    /  FORMTEXT     FOR HUMAN RESOURCES OFFICE USE ONLYREQUESTED BY: INSTITUTION: ADDRESS: APPROVAL GRANTED BY: RECIPROCAL INSTITUTION:  As a recipient of a tuition waiver award from Southern Illinois University, I understand that the University has the legal authority to release my name and address, the name of my former high school or college, the name of my award, and the award amount. This release is valid for the period of time the tuition waiver is in effect. The refusal to accept this agreement will result in a forfeit of the waiver. 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