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Get Spouse/child Tuition Benefit Application - Wayne State University

PRINT) Year: Term: Fall Winter Spring/Summer Student Name (Last, First, Middle Initial) REQUIRED: WSU Banner ID (9digit) . Birth Date, if child (MM/DD/YYYY): Relationship (check one): Spouse Other Eligible Person REVISED YES Senior BENEFIT YES TOTAL Credit Hours Requested for Tuition Benefit: Child Less Than Age 26 EMPLOYEE INFORMATION (PLEASE TYPE OR PRINT) Name (Last, First, Middle Initial) Employed in School, College Or Division and Department REQ.

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