Tuition Remission Form for Undergraduate Graduate Courses - hr lr 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Employee Information section. Enter your name, LR ID#, campus phone number, campus box number, department, supervisor’s name, hiring date, and employment status (full-time, graduate assistant, or part-time). If part-time, specify the number of hours worked per week.
3. Next, complete the Student Information section. Provide the student’s name, social security number, permanent home address and telephone number. Indicate the relationship to the employee (self, spouse, or dependent) and whether they received a Bachelor’s degree from Lenoir-Rhyne University.
4. In the Enrollment Information section, select the semester enrolled (Summer or Fall), enter the number of credit hours enrolled and specify the program type (Day/Traditional or Life Long Learner). List any major(s) for graduate/license programs.
5. Ensure all signatures are obtained: Employee's signature and date, Student's signature and date, Supervisor's signature and Director of Human Resources' signature with dates.

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