Retired Administrative Employee Tuition Waiver Request

Retired Administrative Employee Tuition Waiver Request

(Unit A/Unit B/ASP/LOA/ADMINS)
Tuition waivers will be issued only when this form is submitted to the Provost's Office before class registration. Retired employees not in compliance will be responsible for full payment of tuition and fees. Application for admission and class registration are the responsibilities of the retired employee.
Tuition Waiver Guidelines for Retirees

Educational Benefits Board of Trustee regulation II.B.12.i.3.
1. A waiver of tuition and fees for retired employees applies only to courses for credit or courses for audit.
2. Waiver of tuition and fees applies to Distance Learning credit courses and courses regularly taught on campus.
3. Fees that are to be waived in addition to tuition are credit evaluation fees, university fees, transcript fees, telecourse fees, orientation fees, and Distance Learning Charges. This list does not include fees related to proficiency examinations and laboratory fees and are not waived.
4. Tuition and fee waivers may be subject to taxation.
5. An employee who has retired from Western Illinois University shall be eligible for a waiver of tuition and fees at Western Illinois University as specified for one-half-time employees. (See Educational Benefit BOT regulation II.B.12.i.3.)
6. Any credit hour taken over the credit hour maximum is the retired employee's responsibility.
7. Credit Hour Maximum for WIU Retiree: 1 course or 3 credit hours, whichever is greater, per academic term.
Withdrawal and/or Other Class Schedule Changes

It is the employee's responsibility to understand and follow Western Illinois University policy and procedure regarding class withdrawals and/or make other class schedule changes. Withdrawals and/or other schedule changes could result in additional payments owed to the University. Employees must initiate withdrawal and /or other class schedule changes within the appropriate timelines established by the University. (https://www.wiu.edu/registrar/refunds.php)
Your Name*

First NameLast Name
Your email address*
example@example.com
Phone Number*
Please enter a valid phone number.
Your Employee ID Number
Date of Retirement*
Month/Year
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I certify that:*

I am not required to be registered with the Selective ServiceI am registered with the Selective Service
Employee Signature (If you purposely state falsely any information relative to Selective Service registration, you may be subject to a fine or imprisonment or both.)*

Clear
Class Semester*

SpringFallSummer
Year*
0000
Course 1*
Course 2
Should be Empty: