Name:
Student ID # / C #:
Institution Attending: CSN
Year:
Semester:
PART-TIME PROFESSIONAL FACULTY (FEE WAIVER) APPLICATION
Course # Course Name # of Credits
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Class Day(s) of week (check all that apply)Class #1
Time of Class
Course # Course Name # of Credits
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Class Day(s) of week (check all that apply)Class #2
Time of Class
Approved Disapproved (see comments)
Approved Disapproved (see comments)
I have read, understand and agree to the employee agreement on the reverse side of this application
Employee Signature Date
Department Chair/Lab Manager Signature Date
Human Resources Date
Comments
ACADEMIC AFFAIRS OFFICE USE ONLY
Registration Fee $ CR $
Revision 07/08
Please submit additional form if taking classes at two institutions
X =
Capital Improvement Fee $ CR $
X =
Student Fee $ CR $
X =
General Improvement Fee $ CR $
X =
Student Access Fee $ CR $
X =
Course(s) used to establish eligibility
Course # Course Name # of Credits Semester Year
Total Amount $
Print Form
College of Southern Nevada
Part-Time Professional Faculty (Fee Waiver) Application
POLICY: (Approved September 10, 1987)
Eligible part-time professional faculty (eligibility to be verified by their supervisor) receives a waiver of fees for college
credit classes up to the number of credit hours the part-time faculty member has taught the previous or current
semester (spring/fall only). The eligibility based on credit hours shall not be cumulative from semester to semester.
Those professional part-time faculty members who do not teach must confer with their supervisor to determine
appropriate course equivalency for their services. In no case will a supervisor authorize more than a total of 6 credit
hours of course equivalency per semester for such service and the courses must be taken at any of the NSHE Institutions.
Part-time professional faculty shall be permitted to register for credit or audit in any credit course with the usual
limitations as noted below:
1. Courses may only be taken during the Fall and Spring regular semesters and must be taken at any of the
NSHE Institutions.
2. Only those courses where space is available may be taken.
3. Lab fees are not included in this waiver.
4. Part-time faculty members shall not be entitled to any privileges
PROCEDURE:
a. The faculty member obtains the Fee Waiver Application from the department chair.
b. Upon completion of the application by the faculty member, the application is submitted to the department chair
for signature. The department chair retains a copy of the Fee Waiver Application.
c. The department chair or faculty member delivers the application form to the office of Human Resources.
d. The Human Resources office issues the fee waiver to the faculty member together with a copy of the application
form. The Human Resources office retains the original.
e. The faculty member takes the fee waiver to the Cashier's office at time of registration.
REFUNDS:
1. If a faculty member becomes eligible for a fee waiver after he/she has registered, the Cashier's office will initiate
a refund upon receipt of a fee waiver.
2. If a faculty member who has been issued a fee waiver voluntarily terminates employment during the first half of
of the semester, the fee waiver will be rescinded and a bill for the full amount of the fee waiver will be presented to
the faculty member.
3. If a faculty member who has been issued a fee waiver becomes ineligible, the fee waiver will be rescinded and a bill
for the full amount of the fee waiver will be presented to the faculty member. An example of this situation is the
cancellation of a class due to insufficient enrollment.
4. Exceptions to the above may be made by the Vice President of Academic Affairs.