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Get Hillsborough Community College Tuition Waiver Request Form 2010-2024

L r HILLSBOROUGH COMMUNITY COLLEGE TERM. r TUITION WAIVER REQUEST FORM Student ID Name Last First MI Telephone No Address Street City State Zip COURSE REGISTRATION INFORMATION Course Credit/Clock hrs. I also understand that by signing this form I give HCC permission to release lo the employee listed above. Dependent s Signature SENIOR CITIZEN TUITION WAIVER applicable on a space-available basis and the registration period is from the first day of class through the end of the College s Drop/Add Period. FULL-TIME EMPLOYEE TUITION WAIVER certify that I have been a full-time employee of Hillsborough Community College for at least six months and I have a cumulative 2. 0 grade point average GPA or better at the time of registration. I understand that I must submit this form to the HCC Bursar Office no later than the last day of the Drop/Add Period. Course Title Section Time Schedule Level Total Credit Hours Requested to be Waived* Level A Audit CR Credit PSAV PSAV EMPLOYEE Department Employee ID Position Location Telephone Ext. FULL-TIME EMPLOYEE TUITION WAIVER certify that I have been a full-time employee of Hillsborough Community College for at least six months and I have a cumulative 2. 0 grade point average GPA or better at the time of registration* I understand that I must submit this form to the HCC Bursar Office no later than the last day of the Drop/Add Period. I understand that the waiver does not cover the out-of-state fee portion of registration in the same course more than twice. Employee s Signature Date certify that the employee noted above has been a full-time employee of HCC for at least six months. Supervisor s Signature DEPENDENTTUITION WAIVER Spouse Dependent claimed as a dependent on Federal income return tax on my Federal income tax return* my spouse or dependent HCC Bursar Office no later than the last day of the Drop/Add Period. I understand that the waiver does not cover the out-of-state fee portion of personal student data registration in the same course more than twice. I also understand that by signing this form I give HCC permission to release lo the employee listed above. Dependent s Signature SENIOR CITIZEN TUITION WAIVER applicable on a space-available basis and the registration period is from the first day of class through the end of the College s Drop/Add Period. I understand that the College may limit or deny this privilege for any academic program with selective admission criteria* I understand that the waiver does not cover the out-of-state fee portion of registration in the same course more than twice. Student s Signature GPA and credit hours validated by the Office of Admissions Registration and Records Print name Cumulative GPA Number of credit hours registered for this term 03/2011. Course Title Section Time Schedule Level Total Credit Hours Requested to be Waived* Level A Audit CR Credit PSAV PSAV EMPLOYEE Department Employee ID Position Location Telephone Ext. FULL-TIME EMPLOYEE TUITION WAIVER certify that I have been a full-time employee of Hillsborough Community College for at least six months and I have a cumulative 2.

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