ACADEMIC PERSONNEL or
HUMAN RESOURCES
Term: Fall____ Winter____ Spring _____ 20____
(Application is required for each term)
UNIVERSITY OF CALIFORNIA
IRVINE, CA 92697 Undergraduate ____ Graduate _____ Other _____

EMPLOYEE APPLICATION FOR REDUCED FEES

The employee should be a degree candidate, must file a regular undergraduate or graduate application, and be fully eligible for admission to the University.

Submission of the completed Admissions Application and related materials must take place during a regular application filing period. Each campus of the University has enrollment quotas that limit the number of new freshmen and advanced standing students that may be admitted. Once these quotas have been filled, additional applications may not be accepted. The application filing dates are available in the Undergraduate and Graduate Admissions Offices. For undergraduates, as noted in the circular distributed by Systemwide, the fall quarter applications filing period begins at least 11 months prior to the opening date of that quarter, whereas the winter and spring quarters have filing periods scheduled six months prior to their opening dates. Enrollment in some courses is subject to the approval of the instructor. Reduced fees are not available for Summer Session’s courses.

I understand that my enrollment is governed by  Personnel Policies for UC Staff Members, Policy 51 and/or the University of California Student Fees and Deposits Guide, Section 6.  Exemptions, Waivers, and Fee Reductions, which states:
a. An applicant must be a regular status employee  in a career position [has completed six months of employment and has passed the probationary period] (verified by the Human Resources Office) or an academic employee appointed at more than fifty percent time in positions other than titles where student status is a condition of employment and not represented by an exclusive representative (verified by the Office of Academic Personnel). Note: For staff and academic employees represented by an exclusive representative, the applicable memorandum of understanding should be consulted.

b. Payment shall be one-third of both the University Registration fee and the Educational fee in addition to all other required fees. (To satisfy this requirement student/employees receiving this waiver will not be eligible for the Reduced Fee Part-Time Study program.)

c. At the time of enrollment, an employee may take up to, but no more than, nine units or three courses per quarter, whichever is greater, and is ineligible for any reduced fees (waiver) if this limit is exceeded.

d. At the time of enrollment, selected nursing employees may take up to, but no more that, twelve units or four regular university courses per quarter, whichever is greater, and is ineligible for any reduced fees if this limit is exceeded.

e. The employee is ineligible for the services and facilities of the Counseling Center or the Student Health Services.

Employee’s Name: _________________________UCI Student Name:________________________

Employee Number:_________________________UCI Student Number:_______________________

Currently employed with (Department/Office and Location): _____________________________________


IMPORTANT INFORMATION REGARDING: THE TECHNICAL AND MISCELLANEOUS REFORM ACT OF 1988 (TAMRA).

TAMRA has several areas which could have impact on UCI employees who receive reduced fees (waiver) and/or financial assistance for various courses. UC undergraduate courses do NOT fall within TAMRA’s provisions. In order to help us determine whether your enrollment falls within the provisions of TAMRA, please provide the following information.

Graduate Level Courses Only
1. Are the courses required by the University, or by law or regulations, to enable you to keep your current salary or job?
Yes ____ No ____
2. Do the courses maintain or improve skills required in your present job?  Yes ____ No ____
3. Are the courses required to meet the minimum requirements of your present job?  Yes ____ No ____
4. Are the courses part of a program of study that will lead to qualifying you for a new trade or business?  Yes ____ No ____

If the courses you take are subject to taxation under TAMRA, the waiver amount will be reported as income to our Payroll Department. If you have questions regarding the application of this legislation, please contact the UCI Payroll Office.

Additional note: Graduate students should read and be familiar with graduate student policy found in the UC Irvine Graduate Advisor Handbook and the process to apply for an Exception to Graduate Policy (UCI employees only).

The required signatures of approval for this application are provided below:

_________________________________________________
Signature of Applicant                                             Date

Staff Employee:

_______________________________________
Department Head                                     Date

_______________________________________
Human Resources Representative           Date

Academic  Employee:

__________________________________
Department Chair                                Date

__________________________________
Associate Executive Vice Chancellor    Date

Submit the completed application to the Registrar's Office. Please allow adequate time for the waiver to be processed and electronically transmitted to the Cashier's Office.

____________________________________




________________ ________________
Registrar's Representative Date    




Waiver Number Waiver Amount       


If you have questions regarding tuition reduction or this form, please contact:
Bonni Stachowiak (staff)  or   Pat Price (academic).

Rev. 7/06


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