EMPLOYEE REQUEST FOR TUITION REDUCTION Check one: Full-time Employee Eligible Spouse Eligible Dependent Name of Employee Campus/Division Soc.
Verification of Employee's Eligibility: The above person is a currently employed, full-time (100%) employee of Delgado Community College and has been employed by the College in a full-time, permanent position for: over 2 years over 5 years Signature of Director of Human Resources Date Dependent's Eligibility: I attest to the fact that my dependent, , is an eligible dependent for tax purposes for the calendar year in which reduced tuition is requested, and will be shown on my tax return for the calendar ... Signature of Employee Date Spouse's Eligibility: I attest to the fact that is my legally ...
Allowed
Adobe Portable Document Format (.pdf) - application/pdf
1412-003 Delgado Employee Tuition Reduction Form 2-2021 (fillable PDF).pdf
DELGADO FORMS 
