Get Vt In Reduced Tuition Request Form

Courses for which educators request reduced tuition must be for professional development not for planned career changes outside of education. Please return this form in a timely fashion. Failure to do so will result in your being billed for the regular applicable tuition charges. Last/Family Name First/Given Name Suffix Citizenship S if known U.S. Citizen Permanent Resident Non-Resident Alien Date of Birth Applicant to Complete Middle Name If non-resident alien please list your visa status month/day/year Current Program E-mail Address Degree Level vt. IDN Request for Reduced Tuition Rate for Grades K-12 This policy is a revision of one first approved in 1984 for teachers enrolled in courses for re-certification* The policy now includes teachers counselors administrators and supervisors who teach Kindergarten through grade 12 in public or private schools in the Commonwealth of Virginia* Courses may be taken for re-certification or in pursuit of a degree. The following eligibility guidelines apply 1. Kindergarten through grade 12 public and private school teachers counselors administrators supervisors librarians coaches and other support staff are eligible. 2. Eligible personnel must be full-time contractual employees of a public school division or private school within the Commonwealth of Virginia* 3. Individuals on official leave from their assignments are eligible for reduced tuition* 4. There is no restriction on the number of hours that can be taken* 5. Courses for which educators request reduced tuition must be for professional development not for planned career changes outside of education* Please return this form in a timely fashion* Failure to do so will result in your being billed for the regular applicable tuition charges. Last/Family Name First/Given Name Suffix Citizenship S if known U*S* Citizen Permanent Resident Non-Resident Alien Date of Birth Applicant to Complete Middle Name If non-resident alien please list your visa status month/day/year Current Program E-mail Address Degree Level vt. edu account preferred Doctoral Daytime Phone Local Address First Term of Enrollment Home Office Mobile Education Specialist Fall Spring Summer I Summer II Masters year Anticipated Completion Term Campus city state zip country Non-Degree Commonwealth campus Blacksburg Hampton Roads National Capital Region Richmond Roanoke Southwest Virginia Virtual Semester of Enrollment Fall Spring Summer I Graduate Certificate Course s The Honor System I certify that all information given on this application is true and correct. I will abide by all rules and regulations of the University. I will accept the responsibility of the Honor Code of the University. I pledge I will not lie or cheat. I understand that violation of the Honor Code may result in severe penalties including dismissal from the University. date Applicant Signature Principal to Complete I hereby certify that the above named is employed / on official leave in the State of Virginia as select one Teacher Counselor Administrator Supervisor Other School system currently employed by please do not abbreviate Telephone Return your completed form to Graduate School Printed Name of Principal or CAO Signature of Principal or CAO Reduced Tuition Rate for Grades K-12 Page 1 of 1 AUGUST 2014 Graduate Life Center at Donaldson Brown Virginia Tech 0325 Blacksburg VA 24061 Fax 540/231-2039 Questions Call 540/231-8636 or e-mail grads vt.