Application for Reduced Tuition Application for Reduced Tuition University of Utah Campus and Health Academics Employees Only Full-time employees: Use the Tuition Reduction form in UBenefits unless otherwise directed by Human Resources Emeritus Retirees, Retirees, VA Faculty, and Volunteer Faculty: Use this form if you do not have access to UBenefits Deadline: Semester-length classes: Submit by the last day to withdraw Continuing Education, Osher, or Lifelong Learning courses: Submit before the course begins. Only one Tuition Reduction form is needed per semester—do not submit a form for each class Employee Name * Employee Name First Name First Name Last Name Last Name Employee ID# * Employee Email * Employee Phone * Student Name * Student Name First Name First Name Last Name Last Name Student ID# * Eligible Employee * Full-time EmployeeRetireeEmeritus RetireeVA FacultyVolunteer Faculty (Unpaid)Other Eligible Employee Eligible Student Employee/RetireeSpouseDomestic PartnerChild Under Age 26Domestic Partner's Child Under Age 26 Child's Birthday Semester Information (You must submit a separate application for each semester) * Undergraduate Courses Graduate Courses Combination of Undergraduate and Graduate Courses Continuing Education, OSHER or Lifelong Learning Semester * Spring Summer Fall Year * If the student is taking Graduate Courses (mark all that apply): The student is engaged in teaching or research activities for the University One or more of the classes involves sports, games or hobbies If one or more classes involve sports, games or hobbies, the class(es) are related to the student’s current University job or required for the student’s degree Acknowledgment of Terms and Conditions I hereby apply for a reduction of tuition and fees and certify I am eligible for this benefit as set forth in University Policy 5-305 and Rule 5-305A. If I am found to be ineligible, I agree to pay the full amount of tuition and fees applicable to classes taken. I understand that most UOnline programs are not eligible for employee reduced tuition benefits and that I may contact the UOnline success team with eligibility questions. I understand that effective Fall 2024, this benefit does not apply to differential tuition for graduate-level courses. I understand that graduate-level classes taken by my spouse or child may be taxable to me. If I apply for tuition reduction for my domestic partner or their children, all tuition benefits will be taxable to me. I understand that children must be under age 26 on the first day of the semester and are not eligible for tuition reduction on non-credit Continuing Education courses. I understand that I may be required to provide proof of eligibility if it cannot be determined through normal University procedures. I understand that if I knowingly submit a request for an ineligible individual or provide false, incomplete, or misleading information, I will be required to repay any tuition benefits received and may be subject to corrective action up to and including termination of employment. Electronic Signature * Date * Submit If you are human, leave this field blank. Δ