S O W E L A
TECHNICAL COMMUNITY C OLLEGE
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ww.sowela.edu
EMPLOYEE REQUEST FOR TUITION EXEMPTION / EDUCATIONAL LEAVE
Name of Institution (check one):
SOWELA Technical Community College
Are you requesting Tuition Exemption*? Yes No
Note: All fees, except for tuition, required for enrollment are to be paid by the employee.
Are you be requesting Educational Leave**? Yes No
If “Yes” to either question above, explain how this course(s) is related to your job:
Enter time (hh:mm – hh:mm) under the appropriate day(s) you are requesting educational leave (Should equal a total of 3 hours**).
* Note: Tuition exemption is only applicable for LCTCS institutions.
** Note: Educational Leave is limited to the equivalent of a 3 credit hour course, no more than 3 clock hours per week;
for classified employees, a maximum of 30 calendars days per calendar year (C.S. Rule 11.24(b)).
I understand that continued participation in this tuition exemption program will be based on making satisfactory progress as determined by the Vice Chancellor of
Instruction and/or the employee’s supervisor. Satisfactory progress shall generally be interpreted to include completion of the course with a passing grade. I hereby give
permission to release my final exam grade and/or course grade for course(s) listed above to my supervisor and the Office of Human Resource Management.
EMPLOYMENT ELIGIBILITY / APPROVALS
Verification of Employee's Eligibility: The employee stated above is a currently employed, full-time (100%) employee of SOWELA Technical Community College and has
been employed by the College in a full-time, permanent position for at least 1 (one) year.
Vice Chancellor of Instruction (if applicable)
Director of Human Resources
Revised: 11/20/2007
Created: 09/24/2003
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