GCU EMPLOYEE TUITION REMISSION APPROVAL FORM
This completed form must be submitted to the Office of Human Resources each semester/session and approved by the Office of
Financial Aid prior to registration. In addition, all undergraduate students must fill out a FAFSA form from the Office of Financial Aid.
Failure to complete this form and supporting financial information before the start of the semester/session will result in the loss of
tuition remission for that semester/session.
Date of Hire as
Employee/RSM
Full Time
Name
Employee
Name of
Student ID
Student
Number
Relationship to
Student Date of
Employee
Birth if Child
Undergraduate Degree
Graduate Degree
Non-degree student
Fall
Winter
Spring
Summer
Summer
Semester
Session
Semester
Session I
Session II
Classes
Course #
Course Name
Class Schedule
Required for Degree
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
Yes
No
This benefit is for my dependent child - my initial here affirms that I declare this child as a dependent with the IRS.
This benefit is for myself - my initial here affirms that this class/these classes occur(s) outside of my normal work
schedule.
This benefit is for myself - my initial here affirms that I have discussed taking this class/these classes with my
supervisor and have permission to have a flexible work schedule this semester/session.
This benefit is for my spouse - my initial here affirms that the student is my spouse.
This benefit is for my niece/nephew - my initial here affirms that I am a RSM and that the student is my niece or
nephew.