Tuition Voucher Online Form

* required fields
Employee Information

If you want to use the hours for someone besides yourself, please supply the following student information.

Student Information

Terms & Conditions

• Student must be maintaining Satisfactory Academic Progress (SAP) as outlined on
  Satisfactory Academic Progress (SAP) standards
  
  
• LSEC and Non-credit classes are not eligible.


• Resident tuition is paid for online classes.


• Recipients of the employee tuition scholarship will not be eligible for the Over 65 or Silver Cougar Club tuition discount.


• Eligible dependent children for the full-time staff and full-time faculty categories are defined as those children claimed on the employee’s or, in the event of divorce, dependents of the employee and their ex-spouse at the time the two were married and claimed on either parent’s most recently filed federal tax return. Misrepresentation of a qualifying dependent will result in the permanent loss of the Tuition Scholarship benefit.

To help keep spammers from using our forms you will have to type Barton below before submitting

Barton

I certify that to the best of my knowledge the information on this form is true and complete without evasion or misrepresentation. I understand that if found to be otherwise, it is sufficient cause for rejection.*

By checking this box you have created an electronic signature as legally binding as your handwritten signature.