Roanoke College
Tuition Remission Request Form

Employee Name:
E-mail (yourname@roanoke.edu)
Years you have been employed  by Roanoke College:
Date:
Requested for:
Student Name:
Student SSN:
Academic year:
Full/Part Time:
If part-time, number of courses:  Fall:   Spring:  
Number of summer courses:

Note:

 For budget purposes, an academic year is Summer, Fall and Spring. 

When making a request for summer school, please be sure it is for the same calendar year as fall semester. (Example: Summer '03, Fall '03, Spring '04)

 Requests must be submitted to the Human Resources Department by December 31st of the year prior to the academic year being requested.
Please refer to the Educational Assistance/Scholarship Policy in Handbook.