Staff Tuition Benefit Form

Please complete the information below in order to electronically request your staff tuition benefit. Once completed, the form will be routed to Human Relations, and if approved forwarded to Financial Aid Services for processing. The student's tuition will be credited once benefits are approved and the form is received in our office. While benefits can be approved for the fiscal year, changes in anticipated credit hours can be reported to finaid@stfrancis.edu as they occur. Please review the USF Educational Assistance Policy by clicking this link.

The student's billing account will be credited once the form is approved. Eligible recipients are entitled to a waiver of tuition expense. Mandatory fees, course fees, or any other charges incurred are not covered under the educational waiver. See the reverse side of this form for a copy of the USF Educational Assistance policy. Dependents other than a spouse are not eligible for Graduate tuition waivers. Tuition benefits may not be used for Study Abroad course work. Any questions concerning eligibility should be directed to the HR Department.

*Anticipated Credit Hours for
   the 2013-2014 Academic Year:
SummerAnticipated Credits:
FallAnticipated Credits:
SpringAnticipated Credits:

Demographic Information
*Student Name:

*Student ID#:

*Employee Name:

*Department:

*USF Phone#:

*Relationship to Student:

*Do you work at USF Full-time or Part-time?
Full-time Part-time

*If Part-time, How many hours do you work per week?

*Student's Program Information (Please Check):
Traditional Undergraduate
Masters in Management
Masters in Education
Masters in Training and Development
Undergraduate Degree Completion Program
Masters in Business Administration
Masters in Education with Certification
Master in Health Service Administration
Other

Student Eligibility Information
*Have you completed the Free Application for Federal Student Aid (FAFSA) form for the 2013-2014 academic year or the 2013-2014 USF Estimate Form?
(One or the other is required)
Yes No

*Is the student over the age of 24?
Yes No

*Did the student receive staff benefits prior to Summer term 2005?
Yes No

*Your confirmation will serve as your signature:
I have read and understand the USF Educational Assistance Policy.


* denotes required field.